Individual
DR. MICHAEL G. LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2402 W PIERCE ST, SUITE 1B, CARLSBAD, NM 88220-3537
(575) 887-5325
(575) 887-6449
Mailing address
2402 W PIERCE ST, SUITE 1B, CARLSBAD, NM 88220-3537
(575) 887-5325
(575) 887-6449
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
93-313
NM
207W00000X
Ophthalmology Physician
H7630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06001
—
NM
01
—
180016430
RAILROAD MEDICARE
NM
Enumeration date
08/01/2006
Last updated
12/18/2011
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