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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LICKING MEMORIAL PROFESSIONAL CORP.

Active Organization

LICKING MEMORIAL PROFESSIONAL CORP. is a Geriatric Medicine organization located in NEWARK, Ohio. NPI 1235311358 is currently active in the NPPES registry. Verify at CMS.

Geriatric Medicine · NEWARK, OH

Registration Details

NPI Number
1235311358
Provider Type
Organization
NPI Issued
Nov 30, 2007 (18.744582051233 yrs)
Last Updated
Nov 30, 2007

Practice Information

Address
17 FORRY ST
NEWARK, OH, 430554004
Browse OH providers · Browse ZIP 43055
Phone
7403487935
Fax
7403487936
Primary Specialty
Geriatric Medicine
207QG0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.