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

Licking Memorial Professional Corporation

Organization Urology Physician · NPI 1508086554

Licking Memorial Professional Corporation is an Urology Physician in Newark, Ohio. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1272 W Main St Bldg 4
Newark, OH 43055-2004
Phone: (740) 348-1750
Fax: (740) 348-1751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1508086554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Webster — Vp Of Financial Services · (740) 348-4518
Other names Licking Memorial Urology
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 3, 2011
Mailing address1272 West Main Street, Bldg 4, Newark, OH 43055-2004

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