Lake Cancer & Hematology PA

NPI #1366855967 in Leesburg, Florida

Provider Information

NPI Number: 1366855967
Entity Type: Organization
Organization Name: Lake Cancer & Hematology PA
Primary Specialty: Specialist
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 732 N 3RD ST
City: Leesburg
State: Florida
ZIP Code: 34748-4442
Phone: (352) 728-2532

Authorized Official

Name: DR. LOURDES M MATHEW, MD
Title: OWNER
Phone: (352) 728-2532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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