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Individual

HOANG TRAN LAFAYETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2600 W DOUBLEGATE DR, ALBANY, GA 31721-9234
(229) 436-3056
(229) 436-3056
Mailing address
2600 W DOUBLEGATE DR, ALBANY, GA 31721-9234
(229) 436-3056
(229) 436-3056

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000760
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00670183B
GA
Enumeration date
10/03/2006
Last updated
07/08/2007
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