Organization · Type 2 NPI

Lake Ent & Fps, PA

Specialist · Leesburg, FL

NPI number 1629091996 Active

Practice location

601 E Dixie Ave, Plaza 901
Leesburg, FL 34748-5953

Fax (352) 787-7401

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1629091996

Lake Ent & Fps, PA's National Provider Identifier is 1629091996, issued on Jul 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesburg, FL. The record was last updated on Oct 2, 2020.