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

Licking Memorial Professional Corp

Organization General Practice Physician · NPI 1154496503

Licking Memorial Professional Corp is a General Practice 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.

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Practice location Address checks out

2000 Tamarack Rd
Newark, OH 43055
Phone: (740) 348-1993
Fax: (740) 348-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1154496503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Financial Service · (740) 348-4518
Other names Licking Memorial Physician Wound Services
NPI enumeratedNovember 21, 2006
Last updated in NPPESFebruary 18, 2013
Mailing address2000 Tamarack Rd, Newark, OH 43055

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