Individual
MR. LIONISO C LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3864 N 27TH AVE, PHOENIX, AZ 85017-4703
(602) 685-6000
(602) 685-6001
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 685-6001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9879
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513285
—
AZ
Enumeration date
10/23/2006
Last updated
07/09/2007
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