Provider Information for 1598893976
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Dr. LOUIS L MASON DDS
Sex: Male
NPI: 1598893976
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1598893976 | ||||||||
| Enumeration Date | 2007-02-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 260 S ALEXANDER AVE PORT ALLEN, LA 70767 United States Phone: 225-346-1776 | Fax:225-706-1567 | ||||||||
| Primary Practice Address | 260 S ALEXANDER AVE PORT ALLEN, LA 70767-3016 United States Phone: 225-346-1776 | Fax:225-706-1567 | ||||||||
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