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Organization

LIMA MEMORIAL PROFESSIONAL CORPORATION

Active
Other names
Lima Memorial Health System Northland Medical Center, Northland Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization

Contact information

Practice address
240 W NORTHERN AVE STE 3, LIMA, OH 45801-2839
(419) 998-8265
(419) 222-9057
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457474900
NPI
OH
05
2223703
OH
Enumeration date
11/03/2011
Last updated
04/09/2022
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