Provider Demographics
NPI:1497892988
Name:TRAN, LAN THI (OD)
Entity Type:Individual
Prefix:DR
First Name:LAN
Middle Name:THI
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 1:18009 HIGHWAY 99 STE C1
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4499
Mailing Address - Country:US
Mailing Address - Phone:425-776-5209
Mailing Address - Fax:
Practice Address - Street 1:18009 HIGHWAY 99 STE C1
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4499
Practice Address - Country:US
Practice Address - Phone:425-776-5209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA4013152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist