NPI: 1073822938
Provider Name: LICKING MEMORIAL PROFESSIONAL CORP
Doing Business As: LICKING MEMORIAL ENDOCRINOLOGY
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
Address:
1272 W MAIN ST
BLDG 2 STE 3
NEWARK, OH
ZIP 43055
Phone: (740) 348-7950
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LICKING MEMORIAL PROFESSIONAL CORP is an endocrinology and diabetes and metabolism internal medicine in Newark, OH. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LICKING MEMORIAL PROFESSIONAL CORP NPI is 1073822938. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Endocrinology.
The provider's business location address is:
1272 W MAIN ST
BLDG 2 STE 3
NEWARK, OH
ZIP 43055-004
Phone: (740) 348-7950
Fax: (740) 348-7951
The provider's authorized official is Cynthia L Webster .
The authorized official title is Vp Of Financial Services and has the following contact phone number (740) 348-4518.
The enumeration date for this NPI number is 9/27/2010 and was last updated on 7/31/2012.