Derrick Guy Lim OD

NPI 1073504262 - Optometrist - 152W00000X

NPI Details
NPI 1073504262
Gender Male
Enumeration Date 11/04/2005
Last Updated 03/17/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
5657 ATLANTIC AVE
LONG BEACH CA, 90805-4710, US
Phone (562) 422-3378
Fax
Business Location
358 N LEMON AVE
WALNUT CA, 91789-2345, US
Phone (909) 869-9448
Fax (909) 869-9354
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 10509TPL
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According to our database, Dr. Derrick Guy Lim OD NPI is 1073504262, taxonomy code is 152W00000X and license number is 10509TPL, license state is located at California. Derrick Guy Lim OD physically located at 5657 Atlantic Ave, Long Beach CA, 90805-4710. NPI Number Derrick Guy Lim OD has the Individual type.

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1073504262 NPI number is provided on an as is basis without warranty of any kind. 1073504262 is maintained by the National Plan & Provider Enumeration System. The contents of Derrick Guy Lim OD are for informational purposes only.