Individual
DR. LUCAS VAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 ROBESON STREET, SUITE 304, FAYETTEVILLE, NC 28301-5520
(910) 323-1016
(910) 323-0978
Mailing address
PO BOX 221, FAYETTEVILLE, NC 28302-0221
(910) 323-1016
(910) 323-0978
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
27409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4584679
AETNA
—
01
—
83695
BCBS
NC
05
—
8983695
—
NC
Enumeration date
06/21/2006
Last updated
07/08/2007
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