Licking Memorial Professional Corp
Licking Memorial Professional Corp is a Family Medicine Physician in Newark, Ohio. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2181 W High StNewark, OH 43055-8917
Phone: (740) 348-1720
Fax: (740) 348-1726
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1013935865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Montagnese — Executive V.P. · (740) 348-4000 |
| Other names | Licking Memorial Family Practice Licking Valley |
| NPI enumerated | July 18, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2181 W High St, Newark, OH 43055-8917 |
Other providers in Newark
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Dr. Lisa Marie Karres, DO
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Licking Memorial Professional Corporation
1272 W Main St Bldg 1, Newark, OH 43055-2004 · (740) 348-1702
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Marita L Moore, MD
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