Individual
JANE D LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9371
(812) 858-4539
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9371
(812) 858-4539
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
01043549A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109185
BCBS PIN
IN
05
—
200025260
—
IN
Enumeration date
05/31/2005
Last updated
01/03/2013
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