Graduated: 1991
NPI: 1215197421
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644000
TRILLIUM PATHOLOGY, INC.
100 MEDICAL CTR DR
SPRINGFIELD, OH 455042687
9375235500
Source: CMS National Downloadable File, September 2026.