Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
ProHealth Neurosurgery and Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1005 BELLEFONTAINE AVE STE 225, LIMA, OH 45804-2896
(419) 998-8200
(419) 998-8203
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
02/18/2016
Last updated
07/02/2019
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