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NPI Code Detail

MEDICARE: DR. ANDREW K LIM M.D.

MEDICARE: DR. ANDREW K LIM M.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
1207R00000XInternal Medicine Physician79353MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578563037
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW K LIM M.D.
Provider Business Mailing Address
First Line : 925 SENECA ST
Second Line : G2-GHC GROUP HEALTH AT VIRGINIA MASON
City : SEATTLE
State : WA
Zip : 98101-2742
Country : US
Telephone Number : 206-341-0736
Fax Number :
Provider Business Practice Location Address
First Line : 925 SENECA ST
Second Line : G2-GHC GROUP HEALTH AT VIRGINIA MASON
City : SEATTLE
State : WA
Zip : 98101-2742
Country : US
Telephone Number : 206-341-0736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 05/18/2009

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