| Lima Memorial Health System Neurology | |
|
1005 Bellefontaine Ave Ste 350 Lima OH 45804-2885 | |
| (419) 998-8200 | |
| (419) 998-8203 |
| Full Name | Lima Memorial Health System Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1005 Bellefontaine Ave Ste 350, Lima, Ohio |
| Authorized Official Name and Position | Jeff Utz (DIRECTOR OF LMP) |
| Authorized Official Contact | 4199984668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lima Memorial Health System Neurology 1001 Bellefontaine Ave Lima OH 45804-2800 Ph: (419) 998-4575 | Lima Memorial Health System Neurology 1005 Bellefontaine Ave Ste 350 Lima OH 45804-2885 Ph: (419) 998-8200 |
| NPI Number | 1093216525 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 04/09/2022 |
| Certification Date | 04/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093216525 | NPI | - | NPPES |
| 2223703 | Medicaid | OH | |
| 1457474900 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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