Healthcare Provider Details

I. General information

NPI: 1154106656
Provider Name (Legal Business Name): LAURA ELIZABETH MASON DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 PARAMOUNT DR STE 203
RAYNHAM MA
02767-5416
US

IV. Provider business mailing address

PO BOX 1136
LAKEVILLE MA
02347-1136
US

V. Phone/Fax

Practice location:
  • Phone: 508-738-6740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2370889
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: