NPI 1417114703

Lima Memorial Professional Corporation

Organisation Surgery Physician Lima, OH

Practice location

Address: 1003 Bellefontaine Ave STE 125, Lima, OH 45804-1867
Phone: (419) 998-8207
Fax: (419) 998-8216
Mailing address: 1001 Bellefontaine Ave, Lima, OH 45804-2800

Authorised official

Name: Jeffrey Utz
Title: Director of Lmp
Phone: (419) 998-4668

Registered specialties (5)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

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Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

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Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Colon & Rectal Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

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Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1417114703
Entity type: Organization
NPI issued: 22 May 2008
Record last updated: 9 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.