LAKE CENTER OF H.O.P.E., PA; NPI #1366647802

Contact Information

LAKE CENTER OF H.O.P.E., PA

33057 PROFESSIONAL DRIVE
SUITE 102
LEESBURG, FL 34788

Phone: 352-787-0081
Fax: 352-314-9444
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for LAKE CENTER OF H.O.P.E., PA

NPI Number 1366647802

LBN Legal business name LAKE CENTER OF H.O.P.E., PA

Authorized official LOURDES UNGSON - (SECRETARY TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/15/2007

Last updated 10/21/2013 - About 13 years ago

Identifiers

License #

75000006578

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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