Individual
LAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901
(706) 774-2183
(706) 774-7002
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-2183
(706) 774-7002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
17-40748
GA
363A00000X
Physician Assistant
Primary
PA5216
SC
Other
Enumeration date
05/22/2018
Last updated
07/29/2026
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