Individual
ANDY LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1160 COMMERCE DR STE A, LAS CRUCES, NM 88011-8448
(575) 622-5600
(575) 622-3720
Mailing address
5717 VIRGINIA PINE CT, APARTMENT C, HENRICO, VA 23228-1759
(913) 461-1082
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0116028922
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52837
—
NM
Enumeration date
06/28/2011
Last updated
10/22/2021
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