Lake Cancer Medical Center Pa

LBN: Lake Cancer Medical Center Pa
Lake Cancer Medical Center Pa is an health care organization with primary practice located at 732 North Third Street , Leesburg FL 34748. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Lake Cancer Medical Center 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 North Third Street Leesburg FL 34748
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 ME81152 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME24875 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME80262 Florida

Profile Details

NPI number 1093747560
LBN Legal business name Lake Cancer Medical Center Pa
DBA Doing business as
Authorized official Mathew, Lourdes M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 22nd, 2011 - about 13 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 1093747560 NPPES
Florida Other DE5747 RAILROAD MEDICARE
Florida Other 94872 RAILROAD MEDICARE

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