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Individual

NELSON LIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1281 E COTTONWOOD LN, CASA GRANDE, AZ 85222-2949
(520) 876-0150
(850) 421-3474
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
37111
AZ
207RH0003X
Hematology & Oncology Physician
96-310
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002104
LOVELACE HEALTH/SALUD
NM
01
201005896
PRESBYTERIAN HEALTH/SALUD
NM
05
362012
AZ
01
7603494
AETNA & COFINITY PROVIDER NUMBER
AZ
01
850313268002
CHAMPUS
05
K3929
NM
01
NM000814
BCBS
NM
01
P00070111
RAILROAD MEDICARE
01
P00741630
RAILROAD MEDICARE
FL
01
PROVP14672
MOLINA
NM
Enumeration date
02/02/2006
Last updated
09/25/2009
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