Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 4301054097 | MI |
NPI | 1033531140 |
---|---|
Provider Name | Dr. Adoracion Lim |
First Address | Cadillac, MI 49601-8546 |
Second Address | Cadillac, MI 49601-8546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2014 |
Last Update Date | 08/01/2014 |