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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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician
2207RP1001XPulmonary Disease Physician

Other Identifiers

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

General Provider Information

NPI Number : 1912408444
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 : 1003 BELLEFONTAINE AVE STE 150
Second Line :
City : LIMA
State : OH
Zip : 45804-1871
Country : US
Telephone Number : 419-998-8295
Fax Number : 419-226-8323
Authorized Official
Title or Position : DIRECTOR OF LMP
Name : JEFFREY UTZ
Credential :
Telephone Number : 419-998-4668
Provider Enumeration Date : 02/21/2018
Last Update Date : 04/09/2022

Similar Medicare Providers

1306487830 — KRISTIN R LEUGERS CNP
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323
1578555769 — ABDUL BASIT MD
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323
1477756757 — INDERPAL S THETHI M. D.
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323
1538455720 — DR. JASON A STIENECKER D.O.
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323
1043828775 — MRS. SIERRA N BIELCASSARINO PA-C
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323
1689323180 — BENJAMIN D MAAS CNP
Practice Location Address:
1003 BELLEFONTAINE AVE STE 150
LIMA, OH
45804-1871
Practice Phone: 419-998-8295
Practice Fax: 419-226-8323

Directions to “LIMA MEMORIAL PROFESSIONAL CORPORATION ” Practice Location

Language Start Address Practice Location
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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