Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHR.0007649 | CO |
NPI | 1003462490 |
---|---|
Provider Name | Lynn P Tran |
First Address | Arvada, CO 80001-0501 |
Second Address | Wheat Ridge, CO 80033-4711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2019 |
Last Update Date | 13/08/2019 |