Individual
LY C TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 242-8591
(860) 242-2511
Mailing address
6 NORTHWESTERN DR, SUITE # 305, BLOOMFIELD, CT 06002-3463
(860) 242-8591
(860) 242-2511
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001396
CT
Other
Enumeration date
04/03/2006
Last updated
06/29/2021
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