Licking Memorial Professional Corporation

NPI #1578755435 in Newark, Ohio

Provider Information

NPI Number
1578755435
Entity Type
Organization
Organization Name
Licking Memorial Professional Corporation
Primary Specialty
Psychiatry & Neurology - Neurology
Enumeration Date
Aug 15, 2007
Last Updated
May 12, 2011

Practice Location

Address
1272 WEST MAIN STREET
Address 2
BLDG 2
City
Newark
State
Ohio
ZIP Code
43055-2004
Phone
(740) 348-7985

Authorized Official

Name
CYNTHIA L. WEBSTER
Title
VP OF FINANCIAL SERVICES
Phone
(740) 348-4518

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - NeurologyNeurology

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