Lake Cancer & Hematology Pa

LBN: Lake Cancer & Hematology Pa
Lake Cancer & Hematology Pa is an health care organization with primary practice located at 732 N 3Rd St , Leesburg FL 34748-4442. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Cancer & Hematology Pa can be contacted via phone (352) 728-2532, or through Mathew, Lourdes M via phone (352) 728-2532.

Contact Information

Primary practice address
732 N 3Rd St Leesburg FL 34748-4442
Phone: (352) 728-2532
Fax: (352) 728-3004
Website:
Map and Directions
Authorized official contact:
Name: Mathew, Lourdes M Doctor of Medicine (MD)
Phone: (352) 728-2532

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME24875 Florida

Profile Details

NPI number 1366855967
LBN Legal business name Lake Cancer & Hematology Pa
DBA Doing business as
Authorized official Mathew, Lourdes M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2014
Last updated Jun 11th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366855967 NPPES
Florida MEDICAID 056387100

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