Individual
LAU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 EAST BROAD ST, LYONS, IN 47443-0236
(812) 659-7600
(812) 659-7601
Mailing address
PO BOX 236, LYONS, IN 47443-0236
(812) 659-7600
(812) 659-7601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026593
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124600
—
IN
Enumeration date
08/23/2005
Last updated
11/24/2009
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