CUSTODIO L. LIM

TERRE HAUTE, IN
NPI1063404259
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IN  01035522)
Enumeration Date2005-08-16
Last Update Date2017-09-15
Business Address
-- CUSTODIO L. LIM MD
2235 WABASH AVE
TERRE HAUTE, IN 47807-3330
Phone number: 812-234-5273
Mailing Address
-- CUSTODIO L. LIM MD
2235 WABASH AVE
TERRE HAUTE, IN 47807-3330
Phone number: 812-234-5273