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A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gynecology |
207VG0400X | 16 | Physician/Obstetrics & Gynecology |
| NPI Number | 1053758631 |
| LBN Legal business name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Authorized official | CYNTHIA WEBSTER - (VP FINANCIAL SERVICE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/23/2013 |
| Last updated | 05/23/2013 - About 13 years ago |
| Identifiers | n/a |
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LICKING MEMORIAL PROFESSIONAL CORPORATION