Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
LMPC Specialists at Ottawa, Lima Memorial Health System Putnam County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
102 PUTNAM PKWY, OTTAWA, OH 45875-8657
(419) 523-9632
(419) 523-9636
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
09/01/2017
Last updated
04/09/2022
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