Provider Demographics
NPI:1598815144
Name:LIM, MENG F (MD)
Entity Type:Individual
Prefix:
First Name:MENG
Middle Name:F
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W PRAIRIE ST
Mailing Address - Street 2:
Mailing Address - City:BELLE PLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:56011-1000
Mailing Address - Country:US
Mailing Address - Phone:952-873-2276
Mailing Address - Fax:952-873-4222
Practice Address - Street 1:700 W PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:BELLE PLAINE
Practice Address - State:MN
Practice Address - Zip Code:56011-1000
Practice Address - Country:US
Practice Address - Phone:952-873-2276
Practice Address - Fax:952-873-4222
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42960207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN319056100Medicaid