Basic Information
| Provider Information | |||||||||
| NPI: | 1417181264 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LIMA | ||||||||
| FirstName: | ROBERTA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 226 S WOODS MILL RD | ||||||||
| Address2: | SUITE 37W | ||||||||
| City: | CHESTERFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630173662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145235300 | ||||||||
| FaxNumber: | 3144343191 | ||||||||
| Practice Location | |||||||||
| Address1: | 226 S WOODS MILL RD | ||||||||
| Address2: | SUITE 37W | ||||||||
| City: | CHESTERFIELD | ||||||||
| State: | MO | ||||||||
| PostalCode: | 630173662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145235300 | ||||||||
| FaxNumber: | 3144343191 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2009 | ||||||||
| LastUpdateDate: | 11/12/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 2011038213 | MO | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.