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Individual

MS. LY TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4770 COLONIAL BLVD, FORT MYERS, FL 33966-1034
(239) 274-5020
(239) 274-5025
Mailing address
13643 MESSINO CT, ESTERO, FL 33928-6427
(239) 961-7280

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5965
FL

Other

Enumeration date
08/17/2024
Last updated
08/17/2024
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