Organization · Type 2 NPI

Lake Cancer Medical Center PA

Hematology & Oncology Physician · Leesburg, FL

NPI number 1093747560 Active

Practice location

732 North Third Street
Leesburg, FL 34748

Fax (352) 728-3004

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XME81152 (FL)
Hematology & Oncology Physician 207RH0003XME24875 (FL)
Hematology & Oncology Physician Primary 207RH0003XME80262 (FL)

Hematology & Oncology Physician: 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.

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About NPI 1093747560

Lake Cancer Medical Center PA's National Provider Identifier is 1093747560, issued on Jul 7, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Leesburg, FL. The record was last updated on Aug 22, 2011.