Graduated: 2006
NPI: 1902052129
Practice Locations (5)
LICKING MEMORIAL PROFESSIONAL CORPORATION
120 MCMILLEN DR
NEWARK, OH 430551809
2205644806
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
LICKING MEMORIAL PROFESSIONAL CORPORATION
36 MCMILLEN DR
NEWARK, OH 430551809
2205644270
LICKING MEMORIAL PROFESSIONAL CORPORATION
88 MCMILLEN DR
NEWARK, OH 430551809
2205644270
TRILLIUM PATHOLOGY, INC.
100 MEDICAL CTR DR
SPRINGFIELD, OH 455042687
9375235500
Source: CMS National Downloadable File, September 2026.