Provider Demographics
NPI:1912922535
Name:LIM, BECKILYN L (MD)
Entity Type:Individual
Prefix:
First Name:BECKILYN
Middle Name:L
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11803 JEFFERSON AVE
Mailing Address - Street 2:STE 236
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2565
Mailing Address - Country:US
Mailing Address - Phone:757-873-8883
Mailing Address - Fax:757-873-8730
Practice Address - Street 1:11803 JEFFERSON AVE
Practice Address - Street 2:STE 236
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2565
Practice Address - Country:US
Practice Address - Phone:757-873-8883
Practice Address - Fax:757-873-8730
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2012-10-31
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Provider Licenses
StateLicense IDTaxonomies
VA01010488462080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006715494Medicaid
VA006715494Medicaid