Lake Internal Medicine PA

NPI #1013359975 in Leesburg, Florida

Provider Information

NPI Number: 1013359975
Entity Type: Organization
Organization Name: Lake Internal Medicine PA
Primary Specialty: Internal Medicine
Enumeration Date: Jul 20, 2013
Last Updated: May 28, 2014

Practice Location

Address: 293 BENT OAK CT
City: Leesburg
State: Florida
ZIP Code: 34748-9559
Phone: (352) 408-9935

Authorized Official

Name: NAGE KHA
Title: PRESIDENT
Phone: (352) 408-9935

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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