Organization
LIMA MEMORIAL PROFESSIONAL CORPORATION
Active
Other names
Lima Memorial Internal Medicine, Lima Memorial Health System Internal Medicine, LMHS Medical Park Primary and Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF UTZ (DIRECTOR OF LMP)
(419) 998-4668
Entity
Organization
Contact information
Practice address
525 N EASTOWN RD STE 102, LIMA, OH 45807-2268
(419) 998-8214
(419) 998-8298
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
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457474900
GROUP NPI
OH
05
—
2223703
—
OH
Enumeration date
02/27/2012
Last updated
11/20/2023
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