Organization
LICKING MEMORIAL PROFESSIONAL CORP.
Active
Other names
Licking Memorial Pulmonology
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. WEBSTER (VP FINANCIAL SERVICES)
(740) 348-4027
Entity
Organization
Contact information
Practice address
1320 WEST MAIN STREET, NEWARK, OH 43055-1822
(740) 348-1805
(740) 348-1806
Mailing address
1320 WEST MAIN STREET, NEWARK, OH 43055-1822
(740) 348-1805
(740) 348-1806
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
11/12/2010
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