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

Lake Internal Medicine PA

Organization Internal Medicine Physician · NPI 1013359975

Lake Internal Medicine PA is an Internal Medicine Physician in Leesburg, Florida. Registered with an NPI since 2013.

In the registry since
2013
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

293 Bent Oak Ct
Leesburg, FL 34748-9559
Phone: (352) 408-9935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1013359975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nage Kha — President · (352) 408-9935
NPI enumeratedJuly 20, 2013
Last updated in NPPESMay 28, 2014
Mailing address293 Bent Oak Ct, Leesburg, FL 34748-9559

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