# LIMA MEMORIAL PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lima Memorial Health System Northland Medical Center, Northland Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669758793
- **Authorized official:** JEFFREY UTZ (DIRECTOR OF LMP)
- **Authorized official phone:** (419) 998-4668

## Contact information

- **Practice address:** 240 W NORTHERN AVE STE 3, LIMA, OH 45801-2839
- **Practice address phone:** (419) 998-8265
- **Practice address fax:** (419) 222-9057
- **Mailing address:** 1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
- **Mailing address phone:** (419) 998-4575
- **Mailing address fax:** (419) 998-4586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 04/09/2022