Doctor Name: | JENNIFER MICHELE LIM |
NPI Number: | 1568656965 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 57-013149 |
Business Practice Address: | 332 Congress Park Dr Kettering, OH - 454594133 |
Business Phone Number: | 8007263627 |
Business Fax Number: | |
Mailing Address: | 8501 Gurney Ct, CENTERVILLE |
State: | OH |
Postal Code: | 454582678 |
Phone Number: | 9375469578 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 57-013149 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |