Organization · Type 2 NPI

Lake Surgical Clinic PA

Specialist · Leesburg, FL

NPI number 1114105442 Active

Practice location

1111 W Dixie Ave
Leesburg, FL 34748-6386

Call (352) 787-8230 Map

Fax (352) 787-6964

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME16817 (FL)

Specialist: 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.

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About NPI 1114105442

Lake Surgical Clinic PA's National Provider Identifier is 1114105442, issued on Feb 8, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesburg, FL. The record was last updated on Aug 17, 2010.