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Lake Cancer & Hematology PA

Specialist in Leesburg, FL · enumerated 2014 · authorized official Lourdes Mathew, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366855967

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Cancer & Hematology PA
Practice address 732 N 3rd St, Leesburg, FL, 34748
Fax (352) 728-3004
Enumeration date Jun 11, 2014
Last updated in NPPES Jun 11, 2014

Taxonomy & classification

174400000X Specialist Other Service Providers · License ME24875 (FL) Primary

Authorized official

Name Lourdes Mathew
Title Owner

Other identifiers

Identifier Type State Issuer
056387100 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Lake Cancer & Hematology PA?
Lake Cancer & Hematology PA is registered in NPPES as a Specialist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-11.