Lau Tran, MD
Individual provider Active NPI Family Medicine Physician · Lyons, IN
NPI 1063404390 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1063404390
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01026593 (IN)
- Practice address
- 195 East Broad St
Lyons, IN 47443-0236 - Phone
- (812) 659-7600
- Fax
- (812) 659-7601
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026593 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01026593 | IN | Yes |
Addresses
Primary practice location
195 East Broad St
Lyons, IN 47443-0236
Mailing address
PO Box 236
Lyons, IN 47443-0236
Phone (812) 659-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124600 | Medicaid | IN |
Other providers in Lyons, IN
- Laura Jones
- Linda C Powers
- Scott W Powers
- William Ray Powers
- Riverview Hospital
- Maria Michelle Walker
- William R Powers M.D. Inc.
All providers in Lyons, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.