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Individual

DR. LANCE VAN TRUONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
82712
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DO01271
RI
207ZP0213X
Pediatric Pathology Physician
1018915
MA
208D00000X
General Practice Physician
DO01271
RI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/24/2020
Last updated
06/29/2026
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