Provider Demographics
NPI:1487760666
Name:LIM, FELIPE N (MD)
Entity type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:N
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PHILLIP
Other - Middle Name:N
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1812 REGAL RDG
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4924
Mailing Address - Country:US
Mailing Address - Phone:505-522-4299
Mailing Address - Fax:
Practice Address - Street 1:1812 REGAL RDG
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4924
Practice Address - Country:US
Practice Address - Phone:505-522-4299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM76-220282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital