Marshall Pierre Lim, ND
Individual provider Active NPI Naturopath · Kenmore, NY
NPI 1205792017 · NPPES record last updated Dec 25, 2025
Key facts
- NPI
- 1205792017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- 1233 (OR)
- Practice address
- 3734 Delaware Ave
Kenmore, NY 14217-1002 - Phone
- (716) 873-8700
- Fax
- (716) 873-8701
- NPI assigned
- Dec 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1233 | OR | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 1233 | OR | Yes |
Addresses
Primary practice location
3734 Delaware Ave
Kenmore, NY 14217-1002
Mailing address
3734 Delaware Ave
Kenmore, NY 14217-1002
Phone (716) 873-8700
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.