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Individual

JEROME M. LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9320 W. SAHARA AVE., LAS VEGAS, NV 89117
(702) 383-3633
(702) 562-2810
Mailing address
1800 W. CHARLESTON BLVD. STE. 508, LAS VEGAS, NV 89102
(702) 383-2688
(702) 671-6595

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1350
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VWCHKL
GROUP
NV
Enumeration date
10/04/2005
Last updated
10/05/2018
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