Provider Demographics
NPI:1235592148
Name:LIM, SARAH SU-LIN (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SU-LIN
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 E LIBERTY ST STE 555
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2104
Mailing Address - Country:US
Mailing Address - Phone:775-348-1900
Mailing Address - Fax:
Practice Address - Street 1:1 E LIBERTY ST STE 555
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2104
Practice Address - Country:US
Practice Address - Phone:775-348-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10787800207L00000X
000000390200000X
NV21431207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program