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

Lake Urology Clinic

Organization Urology Physician · NPI 1811902604

Lake Urology Clinic is an Urology Physician in Leesburg, Florida. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

616 N Palmetto St
Leesburg, FL 34748-4417
Phone: (352) 787-4567
Fax: (352) 787-0370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1811902604
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fouad Shami — Partner · (352) 787-4567
NPI enumeratedJuly 30, 2006
Last updated in NPPESSeptember 28, 2007
Mailing address616 N Palmetto St, Leesburg, FL 34748-4417

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