Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
LMHS Comprehensive Health Center
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 260, LIMA, OH 45804-2883
(419) 998-8291
(419) 998-8292
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
10/11/2017
Last updated
02/14/2024
Update your record
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