Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake Cancer & Hematology PA

Organization Specialist · NPI 1366855967

Lake Cancer & Hematology PA is a Specialist in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
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 3rd St
Leesburg, FL 34748-4442
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

Specialist (primary) Taxonomy 174400000X · Licence ME24875 (FL)

Record details

NPI number1366855967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lourdes Mathew — Owner · (352) 728-2532
NPI enumeratedJune 11, 2014
Last updated in NPPESJune 11, 2014
Mailing address732 N 3rd St, Leesburg, FL 34748-4442

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