Matriano Lim, Allan S

Matriano Lim, Allan S is an sole proprietor health care provider with primary practice located at 8001 Youree Dr Suite 720, Shreveport LA 71115-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Matriano Lim, Allan S can be contacted via phone (318) 798-9881.

Contact Information

Primary practice address
8001 Youree Dr Suite 720 Shreveport LA 71115-2302
Phone: (318) 798-9881
Fax: (318) 798-9979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 021617 Louisiana

Profile Details

NPI number 1649268590
LBN Legal business name Matriano Lim, Allan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Mar 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649268590 NPPES
Louisiana MEDICAID 1682411

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