Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corp

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1073822938

Licking Memorial Professional Corp is an Endocrinology, Diabetes & Metabolism Physician in Newark, Ohio. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1272 W Main St Bldg 2 Ste 3
Newark, OH 43055-2004
Phone: (740) 348-7950
Fax: (740) 348-7951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X

Record details

NPI number1073822938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Of Financial Services · (740) 348-4518
Other names Licking Memorial Endocrinology
NPI enumeratedSeptember 27, 2010
Last updated in NPPESJuly 31, 2012
Mailing address1272 W Main St, Bldg 2 Ste 3, Newark, OH 43055-2004

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