MEDICARE: HILLARY MICHELLE LIM N.D.

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	175F00000X	Naturopath	15-1520	AZ

General Provider Information

NPI Number	:	1255706255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY MICHELLE LIM N.D.

Provider Business Mailing Address
First Line	:	3440 E MORROW DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-2636
Country	:	US
Telephone Number	:	602-513-2676
Fax Number	:	866-823-2115

Provider Business Practice Location Address
First Line	:	4657 S LAKESHORE DR
Second Line	:	STE 1
City	:	TEMPE
State	:	AZ
Zip	:	85282-7170
Country	:	US
Telephone Number	:	480-284-8155
Fax Number	:

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

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	12/02/2015

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