LAKE CANCER MEDICAL CENTER PA NPI 1093747560

NPI Information

LAKE CANCER MEDICAL CENTER PA is a hematology and oncology internal medicine in Leesburg, FL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. LAKE CANCER MEDICAL CENTER PA NPI is 1093747560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

732 NORTH THIRD STREET
LEESBURG, FL
ZIP 34748
Phone: (352) 728-2532
Fax: (352) 728-3004

The provider's authorized official is Lourdes M Mathew .
The authorized official title is Md and has the following contact phone number (352) 728-2532.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 8/22/2011.

Taxonomy Codes

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Other Identifiers

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