Individual provider · Type 1 NPI

Neiberg De Alcantara Lima, MD

Student in an Organized Health Care Education/Training Program · Willimantic, CT

NPI number 1972098564 Active

Practice location

112 Mansfield Ave
Willimantic, CT 06226-2045

Call (860) 456-9116 Map

Mailing address

1000 Oakland Dr
Kalamazoo, MI 49008-1282

Other practice locations

  • 1000 Oakland Dr, Kalamazoo, MI 49008-1282 · (269) 337-6300

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000X76031 (CT)
Student in an Organized Health Care Education/Training Program Primary 390200000X4351030606 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1972098564

Neiberg De Alcantara Lima, MD's National Provider Identifier is 1972098564, issued on Jun 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Willimantic, CT. The record was last updated on Jun 11, 2024.