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NPI Code Detail

MEDICARE: JUBIN KANG LIM

MEDICARE: JUBIN KANG 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245057348
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUBIN KANG LIM
Provider Business Mailing Address
First Line : 306 LIBERTY VIEW LN
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2291
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 306 LIBERTY VIEW LN
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2291
Country : US
Telephone Number : 434-592-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2024
Last Update Date : 09/21/2024

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Directions to “ JUBIN KANG LIM ” Practice Location

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