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1194104885
LORENZO RAY MATA LIM
SOUTHFIELD, MI
NPI
1194104885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101021830)
Enumeration Date
2015-05-27
Last Update Date
2018-10-03
Business Address
LORENZO RAY MATA LIM D.O.
23077 GREENFIELD RD STE 195
SOUTHFIELD, MI 48075-3750
Phone number: 248-423-0700
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Mailing Address
LORENZO RAY MATA LIM D.O.
23077 GREENFIELD RD STE 195
SOUTHFIELD, MI 48075-3750
Phone number: 248-423-0700
Copy
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