Individual
QUY V TRAN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1803 C AVE, VINTON, IA 52349-1691
(319) 472-2304
(319) 472-4579
Mailing address
1803 C AVE, VINTON, IA 52349-1691
(319) 472-2304
(319) 472-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02462
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205948
—
IA
01
—
080149081
RR MEDICARE
IA
01
—
080149092
RR MEDICARE
IA
05
—
1205948
—
IA
05
—
1649258385
—
IA
05
—
3064147
—
IA
05
—
7064147
—
IA
05
—
8064147
—
IA
05
—
9064147
—
IA
Enumeration date
01/04/2006
Last updated
05/22/2012
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