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Organization
LAKE INTERNAL MEDICINE PA
Active
Organization
LAKE INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGE KHA (PRESIDENT)
(352) 408-9935
Entity
Organization
Contact information
Practice address
293 BENT OAK CT, LEESBURG, FL 34748-9559
(352) 408-9935
Mailing address
293 BENT OAK CT, LEESBURG, FL 34748-9559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2013
Last updated
05/28/2014
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