Licking Memorial Professional Corporation

NPI #1093955932 in Pataskala, Ohio

Provider Information

NPI Number
1093955932
Entity Type
Organization
Organization Name
Licking Memorial Professional Corporation
Subpart
Yes (part of a larger organization)
Parent Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Primary Specialty
Surgery
Enumeration Date
Mar 5, 2009
Last Updated
Mar 6, 2009

Practice Location

Address
1 HEALTHY PL STE 202
State
Ohio
ZIP Code
43062-7067
Phone
(740) 348-1935

Authorized Official

Name
CYNTHIA WEBSTER
Title
VP REVENUE CYCLE & INTERIM VP FINAN
Phone
(740) 348-4027

Specialties & Taxonomy Codes

Specialty
Surgery

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