MEDICARE: MS. CYNTHIA LIM M.S.

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	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1760410740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA LIM M.S.

Provider Business Mailing Address
First Line	:	7202 WESTWIND DR
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72113-9239
Country	:	US
Telephone Number	:	501-771-0634
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MARSHALL ST # 512-22
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-3510
Country	:	US
Telephone Number	:	501-364-1608
Fax Number	:

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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