Provider Demographics
NPI:1033278072
Name:REED, MARY LIM (DO)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:LIM
Last Name:REED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:450 GIBNER RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-5090
Mailing Address - Country:US
Mailing Address - Phone:717-245-3621
Mailing Address - Fax:717-245-3880
Practice Address - Street 1:450 GIBNER RD
Practice Address - Street 2:SUITE #1
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-5090
Practice Address - Country:US
Practice Address - Phone:717-245-3621
Practice Address - Fax:717-245-3880
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002447A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine