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NPI Code Detail

MEDICARE: LAKESHIA ANN MASON PMHNP-BC

MEDICARE: LAKESHIA ANN MASON PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP70030127WA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner95032943CA

General Provider Information

NPI Number : 1740096189
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKESHIA ANN MASON PMHNP-BC
Provider Business Mailing Address
First Line : 626 W LANCASTER BLVD STE 51
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3108
Country : US
Telephone Number : 213-557-8303
Fax Number :
Provider Business Practice Location Address
First Line : 626 W LANCASTER BLVD STE 51
Second Line :
City : LANCASTER
State : CA
Zip : 93534-3108
Country : US
Telephone Number : 213-557-8303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2024
Last Update Date : 01/28/2026

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Directions to “ LAKESHIA ANN MASON PMHNP-BC” Practice Location

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