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NPI Code Detail

MEDICARE: LAU TRAN MD

MEDICARE:   LAU  TRAN  MD
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
1207Q00000XFamily Medicine Physician01026593IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063404390
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAU TRAN MD
Provider Business Mailing Address
First Line : PO BOX 236
Second Line :
City : LYONS
State : IN
Zip : 47443-0236
Country : US
Telephone Number : 812-659-7600
Fax Number : 812-659-7601
Provider Business Practice Location Address
First Line : 195 EAST BROAD ST
Second Line :
City : LYONS
State : IN
Zip : 47443-0236
Country : US
Telephone Number : 812-659-7600
Fax Number : 812-659-7601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 11/24/2009

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Directions to “ LAU TRAN MD” Practice Location

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