Provider Demographics
NPI:1316106800
Name:LIM, HOUN P (PA C)
Entity type:Individual
Prefix:
First Name:HOUN
Middle Name:P
Last Name:LIM
Suffix:
Gender:F
Credentials:PA C
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Mailing Address - Street 1:57 E CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-7158
Mailing Address - Country:US
Mailing Address - Phone:610-462-5633
Mailing Address - Fax:
Practice Address - Street 1:34TH AND CIVIC CENTER BLVD
Practice Address - Street 2:CHILDRENS HOSPITAL OF PHILADELPHIA ORTHOPAEDIC SURG
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-1527
Practice Address - Fax:215-590-1501
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2015-01-13
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Provider Licenses
StateLicense IDTaxonomies
PAMA051534363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical