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Individual

DR. MICHAEL G. LIM

Active
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Individual

DR. MICHAEL G. LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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