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1013359975
LAKE INTERNAL MEDICINE PA
LEESBURG, FL
NPI
1013359975
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Entity Type
Organization
Authorized Contact
NAGE KHA
President
352-408-9935
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2013-07-20
Last Update Date
2014-05-28
Business Address
LAKE INTERNAL MEDICINE PA
293 BENT OAK CT
LEESBURG, FL 34748-9559
Phone number: 352-408-9935
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Mailing Address
LAKE INTERNAL MEDICINE PA
293 BENT OAK CT
LEESBURG, FL 34748-9559
Phone number:
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