Provider Information for 1053799858
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LISA TRAN
Sex: Female
NPI: 1053799858
Last Updated: 2015-05-12
Certification Date:
Certification Date:
Details
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NPI | 1053799858 | ||||||||
Enumeration Date | 2015-05-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 8836 SYCAMORE AVE WESTMINSTER, CA 92683-5497 United States Phone: 714-260-8571 | Fax: | ||||||||
Primary Practice Address | 1200 N MAIN ST SANTA ANA, CA 92701-3640 United States Phone: 714-480-4678 | Fax: | ||||||||
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