Organization
LICKING MEMORIAL PROFESSIONAL CORP.
Active
Other names
Licking Memorial Family Practice Hebron
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. MONTAGNESE (EXECUTIVE V.P.)
(740) 348-4000
Entity
Organization
Contact information
Practice address
96 INTEGRITY DRIVE, H., HEBRON, OH 43025
(740) 348-7930
(740) 348-7931
Mailing address
96 INTEGRITY DRIVE, HEBRON, OH 43025
(740) 348-7930
(740) 348-7931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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