MEDICARE: FUNG FUNG LIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0002219	CO

General Provider Information

NPI Number	:	1376058370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FUNG FUNG LIM

Provider Business Mailing Address
First Line	:	7955 E ARAPAHOE CT STE 3850
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1358
Country	:	US
Telephone Number	:	720-515-9282
Fax Number	:

Provider Business Practice Location Address
First Line	:	7955 E ARAPAHOE CT STE 3850
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1358
Country	:	US
Telephone Number	:	720-515-9282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2017
Last Update Date	:	12/13/2017

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