Provider Demographics
NPI:1124822853
Name:MASAD, LAMA MOHAMED
Entity type:Individual
Prefix:
First Name:LAMA
Middle Name:MOHAMED
Last Name:MASAD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2576 W ATLANTA AVE # NA
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-7013
Mailing Address - Country:US
Mailing Address - Phone:559-905-3989
Mailing Address - Fax:
Practice Address - Street 1:90 W ASHLAN AVE # SIT100
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-5627
Practice Address - Country:US
Practice Address - Phone:559-905-3989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker