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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