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Lake Neurology Clinic, P.A.

Specialist in Leesburg, FL · enumerated 2006 · authorized official Marilyn Glover, Office Manager.

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

National Provider Identifier

1700958600

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Neurology Clinic, P.A.
Practice address 608 S 9th Street, Ste A, Leesburg, FL, 34748
Fax (352) 360-1123
Enumeration date Nov 15, 2006
Last updated in NPPES Mar 5, 2010

Taxonomy & classification

174400000X Specialist Other Service Providers · License ME76490 (FL) Primary

Authorized official

Name Marilyn Glover
Title Office Manager

Other identifiers

Identifier Type State Issuer
130025175 Other FL MEDICARE RAILROAD
44751 Other FL BCBS
257303200 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 is the NPI number for Lake Neurology Clinic, P.A.?
The NPI for Lake Neurology Clinic, P.A. is 1700958600, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Neurology Clinic, P.A.?
NPPES lists Marilyn Glover (Office Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-03-05.