Provider Demographics
NPI:1821227661
Name:LIM, MARIA AURORA GAYANILO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA AURORA
Middle Name:GAYANILO
Last Name:LIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:135 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2103
Mailing Address - Country:US
Mailing Address - Phone:978-441-1700
Mailing Address - Fax:978-322-8876
Practice Address - Street 1:135 JACKSON ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2103
Practice Address - Country:US
Practice Address - Phone:978-441-1700
Practice Address - Fax:978-454-1681
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2016-11-04
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Provider Licenses
StateLicense IDTaxonomies
PAMT194618207Q00000X
MA250483207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine