Provider Demographics
NPI:1689179707
Name:LIM'S ACUPUNCTURE AND WELLNESS LLC
Entity Type:Organization
Organization Name:LIM'S ACUPUNCTURE AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PILSU
Authorized Official - Middle Name:
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:301-990-2244
Mailing Address - Street 1:4 PROFESSIONAL DR STE 132
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3426
Mailing Address - Country:US
Mailing Address - Phone:301-990-2244
Mailing Address - Fax:
Practice Address - Street 1:4 PROFESSIONAL DR STE 132
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3426
Practice Address - Country:US
Practice Address - Phone:301-990-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty