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

Lake Cancer Medical Center PA

Organization Specialist · NPI 1093747560

Lake Cancer Medical Center PA is a Specialist 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
Phone: (352) 728-2532
Fax: (352) 728-3004
Show map & directions

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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