Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lorenzo Ray Mata Lim, DO

Individual provider Family Medicine Physician · NPI 1194104885

Lorenzo Ray Mata Lim, DO is a Family Practice in Southfield, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Pavilion Family Practice PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

23077 Greenfield Rd Ste 195
Southfield, MI 48075-3750
Phone: (248) 423-0700
Fax: (248) 423-0707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101021830 (MI)

Record details

NPI number1194104885
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 27, 2015
Last updated in NPPESOctober 3, 2018
Mailing address23077 Greenfield Rd Ste 195, Southfield, MI 48075-3750

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Pavilion Family Practice Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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