Provider Demographics
NPI:1467126037
Name:MASSO, LAUREN GRIFFIN (MS, CGC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:GRIFFIN
Last Name:MASSO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MOREHEAD MEDICAL DR STE 500
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2968
Mailing Address - Country:US
Mailing Address - Phone:704-355-7916
Mailing Address - Fax:704-355-1844
Practice Address - Street 1:1025 MOREHEAD MEDICAL DR STE 500
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2968
Practice Address - Country:US
Practice Address - Phone:704-355-7916
Practice Address - Fax:704-355-1844
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS