Provider Demographics
NPI:1679311468
Name:MASON, TAMEEKA LASHAWN
Entity type:Individual
Prefix:
First Name:TAMEEKA
Middle Name:LASHAWN
Last Name:MASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK
Mailing Address - State:PA
Mailing Address - Zip Code:15104-2551
Mailing Address - Country:US
Mailing Address - Phone:412-512-2497
Mailing Address - Fax:
Practice Address - Street 1:800 SPRING ST
Practice Address - Street 2:
Practice Address - City:BRADDOCK
Practice Address - State:PA
Practice Address - Zip Code:15104-2551
Practice Address - Country:US
Practice Address - Phone:412-512-2497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist