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LAKE CANCER & HEMATOLOGY PA
NPI 1366855967
Specialist in Leesburg, FL

Active since June 11, 2014
732 N 3RD ST, LEESBURG, FL 34748(352) 728-2532(352) 728-3004 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Cancer & Hematology Pa NPPES

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

LAKE CANCER & HEMATOLOGY PA (NPI 1366855967) is a healthcare organization registered as a specialist in Leesburg, Florida and active in the NPI registry since June 2014. The organization lists Lourdes M Mathew, Owner, as its authorized official.

NPPES Registry Identity

NPI1366855967
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLAKE CANCER & HEMATOLOGY PA
Location Address732 N 3RD STLeesburg, FL 34748-4442
Mailing Address732 N 3rd StLeesburg, FL 34748-4442 · (352) 728-2532 · Fax (352) 728-3004
Phone(352) 728-2532
Fax(352) 728-3004
Organization SubpartNo
Authorized OfficialLourdes M MathewOwner · (352) 728-2532
Enumeration DateJune 11, 2014
✔ NPI 1366855967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME24875
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
732 N 3RD ST, Leesburg, FL 34748
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Other Identifiers 2

Medicaid056387100FL
Medicare PIN35146BFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHOLOGY SERVICES ALLIANCE LLC
Pathology (Anatomic Pathology & Clinical Pathology)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 787-1778
DR. PATRICIA A GREGG MD
Pathology (Anatomic Pathology & Clinical Pathology)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 365-4575
DR. ORLANDO JOSE ICAZA MD
Pathology (Anatomic Pathology & Clinical Pathology)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 265-8356
DR. DAVID RANDOLPH RIZZUTO MD
Pathology (Anatomic Pathology & Clinical Pathology)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 265-8356
ALLIANCE LABS, LLC
Clinical Medical Laboratory
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 787-1778
RADIATION IMAGING CONSULTANTS INC
Clinic/Center (Radiology)
732 N 3RD ST, SUITE B
LEESBURG, FL 34748
Lake County (352) 233-7896
DR. JEFFREY WAYNE BALTZER MD
Pathology (Anatomic Pathology & Clinical Pathology)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 365-4575
MR. GEORGE M MATHEW M.D.
Internal Medicine (Cardiovascular Disease)
732 N 3RD ST
LEESBURG, FL 34748
Lake County (352) 728-2532

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 & Hematology PA's NPI number?

The NPI number for Lake Cancer & Hematology PA is 1366855967. It was assigned to this organization in the NPPES registry on June 11, 2014.

Where is Lake Cancer & Hematology PA located?

Lake Cancer & Hematology PA is located at 732 N 3rd St, Leesburg, FL 34748. The listed phone number is (352) 728-2532.

What is Lake Cancer & Hematology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lake Cancer & Hematology PA was last updated on June 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.