Individual
MELINDRES J LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 SUNSET DR, LA GRANDE, OR 97850-1248
(541) 663-3150
(541) 975-5111
Mailing address
612 SUNSET DR, LA GRANDE, OR 97850-1248
(541) 663-3150
(541) 975-5111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MA61225
NJ
208000000X
Pediatrics Physician
Primary
MD29069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6994008
—
NJ
Enumeration date
06/16/2006
Last updated
03/25/2009
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