Provider Demographics
NPI:1255335733
Name:TRAN, LAWRENCE DELANO (MD)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:DELANO
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2211 W MAGNOLIA BLVD
Mailing Address - Street 2:STE 230
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1762
Mailing Address - Country:US
Mailing Address - Phone:818-391-1028
Mailing Address - Fax:818-391-1037
Practice Address - Street 1:2211 W MAGNOLIA BLVD
Practice Address - Street 2:STE 230
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1762
Practice Address - Country:US
Practice Address - Phone:818-391-1028
Practice Address - Fax:818-391-1037
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A341930Medicaid
A34193Medicare ID - Type Unspecified
CAA27408Medicare UPIN