Doctor Name: | DR. PETER C. LIM |
NPI Number: | 1407891534 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 8759 |
Business Practice Address: | 75 Pringle Way Lowr Level Reno, NV - 895021464 |
Business Phone Number: | 7753274673 |
Business Fax Number: | 7753274611 |
Mailing Address: | 4465 Juniper Trl, RENO |
State: | NV |
Postal Code: | 895197918 |
Phone Number: | 7757872074 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 8759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |