Provider Demographics
NPI:1912283318
Name:TRAN, LIEN Q (DO)
Entity type:Individual
Prefix:DR
First Name:LIEN
Middle Name:Q
Last Name:TRAN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:55 N WOLFE AVE
Mailing Address - Street 2:412TH AMDS, BLDG 3925
Mailing Address - City:EDWARDS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:93524-6200
Mailing Address - Country:US
Mailing Address - Phone:661-277-1130
Mailing Address - Fax:661-277-0688
Practice Address - Street 1:55 N WOLFE AVE
Practice Address - Street 2:412TH AMDS, BLDG 3925
Practice Address - City:EDWARDS AFB
Practice Address - State:CA
Practice Address - Zip Code:93524-6200
Practice Address - Country:US
Practice Address - Phone:661-277-1130
Practice Address - Fax:661-277-0688
Is Sole Proprietor?:No
Enumeration Date:2011-10-29
Last Update Date:2021-12-17
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Provider Licenses
StateLicense IDTaxonomies
CA20A12022208D00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice