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Lake Cancer & Hematology PA

NPI 1366855967ActiveOrganization· Specialist· Leesburg, FL

Specialist in Leesburg, Florida, registered in NPPES in June 2014. The authorized official on file is Lourdes M. Mathew, MD, Owner.

Overview

NPI1366855967
StatusActive
Entity typeOrganization
NPI issuedJun 11, 2014
Last updated in NPPESJun 11, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XME24875FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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