| Lake Internal Medicine Pa | |
|
293 Bent Oak Ct Leesburg FL 34748-9559 | |
| (352) 408-9935 | |
| Not Available |
| Full Name | Lake Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 293 Bent Oak Ct, Leesburg, Florida |
| Authorized Official Name and Position | Nage Kha (PRESIDENT) |
| Authorized Official Contact | 3524089935 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Internal Medicine Pa 293 Bent Oak Ct Leesburg FL 34748-9559 Ph: () - | Lake Internal Medicine Pa 293 Bent Oak Ct Leesburg FL 34748-9559 Ph: (352) 408-9935 |
| NPI Number | 1013359975 |
|---|---|
| Provider Enumeration Date | 07/20/2013 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013359975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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