Provider Demographics
NPI:1568652287
Name:LIMA, LISA ANNE (MD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE
Last Name:LIMA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:415 EAGLEVIEW BOULEVARD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2239
Mailing Address - Country:US
Mailing Address - Phone:800-872-8626
Mailing Address - Fax:610-524-0948
Practice Address - Street 1:2200 BERGQUIST DR
Practice Address - Street 2:STE 1
Practice Address - City:LACKLAND A F B
Practice Address - State:TX
Practice Address - Zip Code:78236-9907
Practice Address - Country:US
Practice Address - Phone:210-292-5212
Practice Address - Fax:210-292-7986
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2020-09-04
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Provider Licenses
StateLicense IDTaxonomies
HIMD-14404207L00000X
TXM8292207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology