MEDICARE: DR. LILY MEGHANN LIM MD

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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	W0217	TX
2	207R00000X	Internal Medicine Physician	W0217	TX

General Provider Information

NPI Number	:	1164162111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LILY MEGHANN LIM MD

Provider Business Mailing Address
First Line	:	2904 E STAN SCHLUETER LOOP # 37
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4813
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2904 E STAN SCHLUETER LOOP # 37
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76542-4813
Country	:	US
Telephone Number	:	254-419-3923
Fax Number	:

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

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	02/13/2026

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