MEDICARE: DOROTHY LE TRAN MD, RD, LD

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
1	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian	LD007318	GA

General Provider Information

NPI Number	:	1881511756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY LE TRAN MD, RD, LD

Provider Business Mailing Address
First Line	:	95 VILLA PLACE CT
Second Line	:
City	:	TUCKER
State	:	GA
Zip	:	30084-1972
Country	:	US
Telephone Number	:	678-761-0545
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 BROOKSIDE AVE STE 125
Second Line	:
City	:	AMBLER
State	:	PA
Zip	:	19002-3436
Country	:	US
Telephone Number	:	877-842-2425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2026
Last Update Date	:	07/01/2026

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