Lake Neurology Clinic, P.A.

LBN: Lake Neurology Clinic, P.A.
Lake Neurology Clinic, P.A. is an health care organization with primary practice located at 608 S 9Th Street Ste A, Leesburg FL 34748. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Neurology Clinic, P.A. can be contacted via phone (352) 360-1122, or through Glover, Marilyn C via phone (352) 360-1122.

Contact Information

Primary practice address
608 S 9Th Street Ste A Leesburg FL 34748
Phone: (352) 360-1122
Fax: (352) 360-1123
Website:
Map and Directions
Authorized official contact:
Name: Glover, Marilyn C
Phone: (352) 360-1122

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME76490 Florida

Profile Details

NPI number 1700958600
LBN Legal business name Lake Neurology Clinic, P.A.
DBA Doing business as
Authorized official Glover, Marilyn C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Mar 5th, 2010 - about 15 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 1700958600 NPPES
Florida Other 130025175 MEDICARE RAILROAD
Florida Other 44751 MEDICARE RAILROAD
Florida MEDICAID 257303200 MEDICARE RAILROAD

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