| Doctor Name: | DR. JACKSON M LIM |
| NPI Number: | 1073594727 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | E4263 |
| Business Practice Address: | 1531 Plumas Ct Suite A Yuba City, CA - 959912960 |
| Business Phone Number: | 5306749737 |
| Business Fax Number: | 5306749734 |
| Mailing Address: | 1531 Plumas Ct, Suite A YUBA CITY |
| State: | CA |
| Postal Code: | 959912960 |
| Phone Number: | 5306749737 |
| Fax Number: | 5306749734 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | E4263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |