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Individual

DR. DEVIN TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
312198
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25261
VETERAN'S AFFAIRS
MS
01
312198
LSBME MEDICAL LICENSE
LA
05
312198
LA
01
T-2857
MS TRAINING LICENSE
MS
Enumeration date
06/16/2014
Last updated
09/06/2019
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