Lawanda T Jim

NPI #1821256900 in Shiprock, New Mexico

Provider Information

NPI Number: 1821256900
Entity Type: Individual
Name: Lawanda T Jim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: May 27, 2008
Last Updated: Feb 13, 2013

Practice Location

Address: US HWY 491 N
City: Shiprock
State: New Mexico
ZIP Code: 87420
Phone: (505) 368-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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