Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Lima Memorial Health System Heart & Vascular Institute, Ohio Cardiothoracic and Vascular Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 200, LIMA, OH 45804-2868
(419) 227-7702
(419) 227-7991
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
03/08/2019
Last updated
04/09/2022
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