Individual
ANTHONY LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
923 LIDFORD AVE, LA PUENTE, CA 91744-3225
(626) 827-8901
Mailing address
923 LIDFORD AVE, LA PUENTE, CA 91744-3225
(626) 827-8901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52841
CA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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