Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-140370 |
NPI | 1053936575 |
---|---|
Provider Name | Laura Beth Mason |
First Address | Toledo, OH 43615-2563 |
Second Address | Toledo, OH 43615-2563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2020 |
Last Update Date | 10/06/2020 |