Individual
MARK B LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
Mailing address
1840 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5771
(928) 453-8500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT9151
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R81303
AZ
Other
Enumeration date
07/17/2006
Last updated
09/06/2024
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