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LAKE CANCER MEDICAL CENTER PA
NPI 1093747560
Internal Medicine - Hematology & Oncology in Leesburg, FL

Active since July 07, 2006
732 NORTH THIRD STREET, LEESBURG, FL 34748(352) 728-2532(352) 728-3004 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake Cancer Medical Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE CANCER MEDICAL CENTER PA (NPI 1093747560) is a healthcare organization registered as a hematology & oncology in Leesburg, Florida and active in the NPI registry since July 2006. The organization lists Lourdes M Mathew, Md, as its authorized official.

NPPES Registry Identity

NPI1093747560
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLAKE CANCER MEDICAL CENTER PA
Location Address732 NORTH THIRD STREETLeesburg, FL 34748
Mailing Address732 North Third StreetLeesburg, FL 34748 · (352) 728-2532 · Fax (352) 728-3004
Phone(352) 728-2532
Fax(352) 728-3004
Organization SubpartNo
Authorized OfficialLourdes M MathewMd · (352) 728-2532
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2011
✔ NPI 1093747560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in FL · ME80262✔ Licensed in FL · ME24875
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License ME81152 (FL)
732 NORTH THIRD STREET, Leesburg, FL 34748
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Other Identifiers 5

Medicare UPINH12555
Medicare PINK7259FL
Other94872FL · Bcbs
Medicare UPIND54333
OtherDE5747FL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Cancer Medical Center PA's NPI number?

The NPI number for Lake Cancer Medical Center PA is 1093747560. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Lake Cancer Medical Center PA located?

Lake Cancer Medical Center PA is located at 732 North Third Street, Leesburg, FL 34748. The listed phone number is (352) 728-2532.

What is Lake Cancer Medical Center PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Lake Cancer Medical Center PA was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.