Individual
NICOLE MAE LAO LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.247166
OH
207R00000X
Internal Medicine Physician
76790
WI
208M00000X
Hospitalist Physician
Primary
76790
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790346138
—
WI
Enumeration date
06/26/2019
Last updated
03/10/2026
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