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NPI Code Detail

MEDICARE: LIMA MEMORIAL PROFESSIONAL CORPORATION

MEDICARE: LIMA MEMORIAL PROFESSIONAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11457474900OTHEROHNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275824724
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIMA MEMORIAL PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1001 BELLEFONTAINE AVE
Second Line :
City : LIMA
State : OH
Zip : 45804-2800
Country : US
Telephone Number : 419-998-4575
Fax Number : 419-998-4586
Provider Business Practice Location Address
First Line : 1220 E ELM ST STE 106
Second Line :
City : LIMA
State : OH
Zip : 45804-2803
Country : US
Telephone Number : 419-998-8244
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JEFFREY UTZ
Credential :
Telephone Number : 419-998-4668
Provider Enumeration Date : 05/02/2011
Last Update Date : 12/09/2025

Similar Medicare Providers

1306838867 — DR. RHONDA J MEDINA M.D.
Practice Location Address:
1220 E ELM ST STE 101
LIMA, OH
45804-2803
Practice Phone: 419-998-8245
Practice Fax: 419-998-8247
1063464873 — MARJORIE ANN DEMUND MD
Practice Location Address:
1220 E ELM ST STE 101
LIMA, OH
45804-2803
Practice Phone: 419-998-8245
Practice Fax: 419-998-8247
1659396612 — AMY L SMITH MSN, CNM
Practice Location Address:
1220 E ELM ST STE 101
LIMA, OH
45804-2803
Practice Phone: 419-228-8245
Practice Fax: 419-998-8247
1518984137 — DR. KENNETH E STANLEY MD
Practice Location Address:
1220 E ELM ST STE 101
LIMA, OH
45804-2803
Practice Phone: 419-228-0570
Practice Fax: 419-228-0943
1639283914 — DR. FADI ABBASS M.D.
Practice Location Address:
1220 E ELM ST STE 106
LIMA, OH
45804-2803
Practice Phone: 419-998-8244
Practice Fax: 419-998-8243
1811427586 — LIMA MEMORIAL PROFESSIONAL CORPORATION
Practice Location Address:
1220 E ELM ST STE 101
LIMA, OH
45804-2803
Practice Phone: 419-998-8245
Practice Fax: 419-998-8247

Directions to “LIMA MEMORIAL PROFESSIONAL CORPORATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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