Lake Cancer Medical Center Pa, NPI 1093747560
Hematology & Oncology Physician in Leesburg, FL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093747560 |
| NPI Entity Type | Organization |
| Provider Name | Lake Cancer Medical Center Pa |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 732 North Third Street, Leesburg, FL, US |
| Provider Mailing Address | 732 North Third Street, Leesburg, FL, US, 34748 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MRS. MD Lourdes M Mathew |
| Official Position | MD |
| Phone | 352-728-2532 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Hematology & Oncology Physician |
| Classification | |
| Group | |
| License No. | ME80262 |
| License State | FL |
| Description | 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| ME24875 | FL | No | |||
| ME81152 | FL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| DE5747 | FL | RAILROAD MEDICARE | 01 |
| 94872 | FL | BCBS | 01 |
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