Provider Demographics
NPI:1205527272
Name:TRAN, ALEX TRU (DO)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:TRU
Last Name:TRAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1324 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-4543
Mailing Address - Country:US
Mailing Address - Phone:863-687-1100
Mailing Address - Fax:
Practice Address - Street 1:1324 LAKELAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4543
Practice Address - Country:US
Practice Address - Phone:941-999-7679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLUO9182208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery