LICKING MEMORIAL PROFESSIONAL CORPORATION is a plastic and reconstructive surgery surgery in Newark, OH. The provider is a surgeon who specializes in plastic and reconstructive surgery. LICKING MEMORIAL PROFESSIONAL CORPORATION NPI is 1831381706. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Licking Memorial Reconstructive & Cosmetic Services.
The provider's business location address is:
1272 W MAIN ST
BLDG. 2
NEWARK, OH
ZIP 43055-004
Phone: (740) 348-7955
Fax: (740) 348-7956
The provider's authorized official is Renee Spring-ives .
The authorized official title is Credentialing Coordinator and has the following contact phone number (740) 348-4027.
The enumeration date for this NPI number is 8/15/2007 and was last updated on 8/15/2007.