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NPI Code Detail

MEDICARE: JANE D LIM M.D.

MEDICARE: JANE D 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
1207ND0101XMOHS-Micrographic Surgery Physician01043549AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000109185OTHERINBCBS PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699778050
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE D LIM M.D.
Provider Business Mailing Address
First Line : PO BOX 3868
Second Line :
City : EVANSVILLE
State : IN
Zip : 47737-3868
Country : US
Telephone Number : 812-426-9371
Fax Number : 812-858-4539
Provider Business Practice Location Address
First Line : 421 CHESTNUT ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1227
Country : US
Telephone Number : 812-426-9371
Fax Number : 812-858-4539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/03/2013

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