| NPI | 1093757155 |
|---|---|
| Doing Business As | LICKING MEMORIAL FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | ROBERT A. MONTAGNESE Executive Vice President 740-348-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |