Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Cancer Medical Center PA

Organization Specialist · NPI 1093747560

Lake Cancer Medical Center PA provides Specialist services in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

732 N Third St
Leesburg, FL 34748 Not confirmed with CMS for 15 years — call before visiting
Phone: (352) 728-2532
Fax: (352) 728-3004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence ME80262 (FL)
Specialist Taxonomy 174400000X · Licence ME81152 (FL)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence ME24875 (FL)

Record details

NPI number1093747560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lourdes Mathew — Md · (352) 728-2532
NPI enumeratedJuly 7, 2006
Last updated in NPPESAugust 22, 2011
Mailing address732 North Third Street, Leesburg, FL 34748

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