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

Licking Memorial Professional Corp

Organization Family Medicine Physician · NPI 1689690661

Licking Memorial Professional Corp is a Family Medicine Physician in Hebron, 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.

See every abbreviation used in this directory →

Practice location Address checks out

96 Integrity Drive H
Hebron, OH 43025
Phone: (740) 348-7930
Fax: (740) 348-7931
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1689690661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive V.P. · (740) 348-4000
Other names Licking Memorial Family Practice Hebron
NPI enumeratedJuly 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address96 Integrity Drive, Hebron, OH 43025