Organization · Type 2 NPI

Licking Memorial Professional Corporation

Plastic and Reconstructive Surgery Physician · Newark, OH

NPI number 1831381706 Active

About NPI 1831381706

Licking Memorial Professional Corporation's National Provider Identifier is 1831381706, issued on Aug 15, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Newark, OH. The record was last updated on Aug 15, 2007.