Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Midwest Surgical Specialists - Urology at Kenton
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
1211 E COLUMBUS ST, KENTON, OH 43326-1760
(419) 998-8276
(419) 998-8277
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
01/14/2016
Last updated
07/02/2019
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