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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: August 16, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.