Individual
LAM DUY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
(772) 398-1990
Mailing address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS18477
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2018
Last updated
01/15/2022
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