Individual
DR. JANE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3990 ASHLAND DRIVE, 46 PO, SKIPPACK, PA 19474-0046
(610) 410-5290
(610) 584-0314
Mailing address
3990 ASHLAND DRIVE, 46 PO, SKIPPACK, PA 19474-0046
(610) 410-5290
(610) 584-0314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000061
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09768
MEDICARE PTAN
PA
Enumeration date
01/24/2007
Last updated
12/09/2015
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