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LIMA MEMORIAL PROFESSIONAL CORPORATION NPI 1063853414


NPI Information

NPI: 1063853414
Provider Name: LIMA MEMORIAL PROFESSIONAL CORPORATION

Doing Business As: LIMA MEMORIAL KIDNEY SPECIALISTS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1005 BELLEFONTAINE AVE STE 230
LIMA, OH
ZIP 45804
Phone: (419) 998-8255
Get Directions

LIMA MEMORIAL PROFESSIONAL CORPORATION is a nephrology internal medicine in Lima, OH. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. LIMA MEMORIAL PROFESSIONAL CORPORATION NPI is 1063853414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lima Memorial Kidney Specialists.

The provider's business location address is:

1005 BELLEFONTAINE AVE STE 230
LIMA, OH
ZIP 45804-882
Phone: (419) 998-8255
Fax: (419) 226-8335

The provider's authorized official is Jeffrey Utz .
The authorized official title is Director Of Lmp and has the following contact phone number (419) 998-4668.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 4/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RR0500XInternal MedicineRheumatologyNo
3207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457474900OTHEROHIOGROUP-NPI
22223703MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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