Individual
DR. JACKSON M LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1531 PLUMAS CT, SUITE A, YUBA CITY, CA 95991-2960
(530) 674-9737
(530) 674-9734
Mailing address
1531 PLUMAS CT, SUITE A, YUBA CITY, CA 95991-2960
(530) 674-9737
(530) 674-9734
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4263
CA
213ES0131X
Foot Surgery Podiatrist
E4263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42630
—
CA
Enumeration date
11/09/2005
Last updated
10/29/2009
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