Most Relevant Information
Provider Data
| NPI Number: | 1003381005 |
| Provider Name: | LISA TUYET TRAN |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/05/2018 |
| Last Updated: | 10/05/2018 |
Provider Practice Location
6239 S EAST ST STE A
INDIANAPOLIS
IN
462272088
Practice Location Phone/Fax
| Phone: | 8123906736 |
| Fax: |
Provider Mailing Location
6239 S EAST ST STE A
INDIANAPOLIS
IN
462272088
Provider Mailing Phone/Fax
| Phone: | 8123906736 |
| Fax: |