Provider Demographics
NPI:1497087498
Name:TRAN, LORI LUOM (OD)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:LUOM
Last Name:TRAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 COIT RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5903
Mailing Address - Country:US
Mailing Address - Phone:469-241-9272
Mailing Address - Fax:
Practice Address - Street 1:6000 COIT RD
Practice Address - Street 2:STE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5903
Practice Address - Country:US
Practice Address - Phone:469-241-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7497TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist