Provider Demographics
NPI:1144230913
Name:LIMA, ANGELA S (DO)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:S
Last Name:LIMA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1236 HUFFMAN MILL RD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8700
Mailing Address - Country:US
Mailing Address - Phone:336-586-3795
Mailing Address - Fax:336-586-3778
Practice Address - Street 1:1236 HUFFMAN MILL RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-586-3795
Practice Address - Fax:336-586-3778
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-085412174400000X
NC2014-005132084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF53728Medicare UPIN