| Leesburg Family Medicine | |
|
201 Lagrande Blvd Lady Lake FL 32159-1303 | |
| (352) 753-0606 | |
| Not Available |
| Full Name | Leesburg Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Lagrande Blvd, Lady Lake, Florida |
| Authorized Official Name and Position | Regina Ingram (ADMINISTRATOR) |
| Authorized Official Contact | 3527286808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leesburg Family Medicine 201 Lagrande Blvd Lady Lake FL 32159-1303 Ph: (352) 753-0606 | Leesburg Family Medicine 201 Lagrande Blvd Lady Lake FL 32159-1303 Ph: (352) 753-0606 |
| NPI Number | 1225284391 |
|---|---|
| Provider Enumeration Date | 08/08/2008 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225284391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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