Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Active
Organization
LICKING MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Licking Memorial Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA L. WEBSTER (VP OF FINANCIAL SERVICES)
(740) 348-4518
Entity
Organization
Contact information
Practice address
1272 WEST MAIN STREET, BLDG 2, NEWARK, OH 43055-2004
(740) 348-7985
(740) 348-7986
Mailing address
1272 WEST MAIN STREET, BLDG 2, NEWARK, OH 43055-2004
(740) 348-7985
(740) 348-7986
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
08/15/2007
Last updated
05/12/2011
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