Provider Demographics
NPI:1558094110
Name:LIM, MEGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1701 DIVISADERO STREET, THIRD FLOOR, DERMATOLOGY ADMINI
Mailing Address - Street 2:ATTN: MAURICIO GUERRERO
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-271-4406
Mailing Address - Fax:415-353-7838
Practice Address - Street 1:1701 DIVISADERO STREET, THIRD FLOOR, DERMATOLOGY ADMINI
Practice Address - Street 2:ATTN: MAURICIO GUERRERO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-271-4406
Practice Address - Fax:415-353-7838
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program