Individual
DR. LISA MARY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036164174
IL
207Q00000X
Family Medicine Physician
35147364
OH
Other
Enumeration date
04/08/2020
Last updated
08/02/2023
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