LAKE INTERNAL MEDICINE PA

LEESBURG, FL
NPI1013359975
Entity TypeOrganization
Authorized ContactNAGE KHA
President
352-408-9935
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2013-07-20
Last Update Date2014-05-28
Business Address
LAKE INTERNAL MEDICINE PA
293 BENT OAK CT
LEESBURG, FL 34748-9559
Phone number: 352-408-9935
Mailing Address
LAKE INTERNAL MEDICINE PA
293 BENT OAK CT
LEESBURG, FL 34748-9559
Phone number: