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Individual

LAWRENCE S TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
135 S WASHINGTON ST, SAINT CROIX FALLS, WI 54024-4414
(715) 483-3259
(608) 571-0088
Mailing address
PO BOX 767, SAINT CROIX FALLS, WI 54024-0767
(715) 483-3259
(715) 483-5136

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2504
MN
152W00000X
Optometrist
Primary
2608-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
701506200
MN
Enumeration date
04/14/2006
Last updated
06/06/2023
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