| Lakeview Internal Medicine P.a. | |
|
101 S 11th St Suite 4 Leesburg FL 34748-5767 | |
| (352) 460-4004 | |
| (352) 460-4003 |
| Full Name | Lakeview Internal Medicine P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 S 11th St, Leesburg, Florida |
| Authorized Official Name and Position | Khai Sheng Chang (PRESIDENT) |
| Authorized Official Contact | 3527353755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Internal Medicine P.a. Po Box 297 Tavares FL 32778-0297 Ph: (352) 735-3755 | Lakeview Internal Medicine P.a. 101 S 11th St Suite 4 Leesburg FL 34748-5767 Ph: (352) 460-4004 |
| NPI Number | 1083945935 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083945935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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