Mason, Lisa Anne

Mason, Lisa Anne is an individual health care provider with primary practice located at 901 W Main Street Centrastate Medical Center, Freehold NJ 07728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mason, Lisa Anne can be contacted via phone (732) 294-2666.

Contact Information

Primary practice address
901 W Main Street Centrastate Medical Center Freehold NJ 07728
Phone: (732) 294-2666
Fax: (732) 431-8267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26N007222900 New Jersey

Profile Details

NPI number 1619922754
LBN Legal business name Mason, Lisa Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619922754 NPPES
New Jersey MEDICAID 8293201

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