Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
DME
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF UTZ IV (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2223703
—
OH
05
—
3049561
—
OH
Enumeration date
06/17/2010
Last updated
09/24/2020
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