Provider Demographics
NPI:1356236079
Name:LIM SKIN, LLC
Entity type:Organization
Organization Name:LIM SKIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:614-886-1079
Mailing Address - Street 1:11841 ALBISSOLA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6166
Mailing Address - Country:US
Mailing Address - Phone:614-886-1079
Mailing Address - Fax:614-886-1079
Practice Address - Street 1:11841 ALBISSOLA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89138-6166
Practice Address - Country:US
Practice Address - Phone:614-886-1079
Practice Address - Fax:614-886-1079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty