Licking Memorial Professional Corp.

NPI #1326068768 in Newark, Ohio

Provider Information

NPI Number
1326068768
Entity Type
Organization
Organization Name
Licking Memorial Professional Corp.
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Jul 20, 2006
Last Updated
Nov 12, 2010

Practice Location

Address
1320 WEST MAIN STREET
City
Newark
State
Ohio
ZIP Code
43055-1822
Phone
(740) 348-1805

Authorized Official

Name
CYNTHIA L. WEBSTER
Title
VP FINANCIAL SERVICES
Phone
(740) 348-4027

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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