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Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Lima Memorial Kidney Specialists at Kenton, Lima Memorial Health System at Kenton Medical Center, LMPC Specialists at Kenton, Lima Memorial Internal Medicine and Kidney Specialists at Kenton
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1211 E COLUMBUS ST, KENTON, OH 43326-1760
(419) 998-8255
(419) 226-8335
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
10/14/2014
Last updated
04/09/2022
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