Organization · Type 2 NPI
Lake Neurology Clinic, P.a.
Specialist · Leesburg, FL
NPI number
1700958600
Active
Practice location
608 S 9th Street, Ste A
Leesburg, FL 34748
Fax (352) 360-1123
Mailing address
PO Box 490123
Leesburg, FL 34749-0123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME76490 (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 1700958600
Lake Neurology Clinic, P.a.'s National Provider Identifier is 1700958600, issued on Nov 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesburg, FL. The record was last updated on Mar 5, 2010.