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Individual

DR. EDWARD LOUIE LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2109 FOREST AVE, SUITE 50, CHICO, CA 95928-7680
(530) 342-9644
(530) 345-7547
Mailing address
2109 FOREST AVE, SUITE 50, CHICO, CA 95928-7680
(530) 342-9644
(530) 345-7547

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06077T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03557
MEDICAL EYE SERVICES ID #
CA
01
38805
DAVIS VISION ID #
CA
01
8830
SAFEGUARD ID #
CA
05
SD0060770
CA
Enumeration date
01/23/2006
Last updated
02/20/2009
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