Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | MD031683E | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD031683E | PA |
NPI | 1124025317 |
---|---|
Provider Name | Elizabeth G Lim |
First Address | Pittsburgh, PA 15206-4316 |
Second Address | Pittsburgh, PA 15206-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 15/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010596010006 | (05) | PA |
0991001000 | (05) | WV |
2106410 | (05) | OH |
C34516 | (02) |