Dr. Lisa Mary Tran, MD
Family Medicine in Chicago, IL. Individual provider (NPI-1).
NPI number1164051355
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1164051355
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Mary Tran
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2020
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036164174 | IL | Yes |
| 207Q00000X | Family Medicine | 35147364 | OH |
Practice location
1044 N Francisco AveChicago, IL 60622-2743
Phone 773-292-8200
Mailing address
1044 N Francisco AveChicago, IL 60622-2743
Phone 773-292-8200
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