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NPI Code Detail

MEDICARE: SUZANNE LIM PA-C

MEDICARE: SUZANNE LIM PA-C
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
1363A00000XPhysician AssistantC0008436MD

General Provider Information

NPI Number : 1427479385
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE LIM PA-C
Provider Business Mailing Address
First Line : 23 CROSSROADS DR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5490
Country : US
Telephone Number : 410-356-2626
Fax Number :
Provider Business Practice Location Address
First Line : 23 CROSSROADS DR STE 400
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5490
Country : US
Telephone Number : 410-356-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2013
Last Update Date : 05/25/2022

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Directions to “ SUZANNE LIM PA-C” Practice Location

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