Individual
DR. IDA M LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2030 WINDSOR RUN LN, MATTHEWS, NC 28105-0054
(704) 443-6250
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(704) 443-6250
(704) 443-6279
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
T-1873
NM
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
738
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
738
NC
213ES0131X
Foot Surgery Podiatrist
738
NC
Other
Enumeration date
06/05/2018
Last updated
02/05/2024
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