Lake Neurology Clinic, P.A.
NPI 1700958600ActiveOrganization· Specialist· Leesburg, FL
Specialist in Leesburg, Florida, registered in NPPES in November 2006. The authorized official on file is Marilyn C. Glover, Office Manager.
Overview
| NPI | 1700958600 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 15, 2006 |
| Last updated in NPPES | Mar 5, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | ME76490 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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