Mathew, Lourdes M

Mathew, Lourdes M is an individual health care provider with primary practice located at 732 North Third Street , Leesburg FL 31748. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mathew, Lourdes M can be contacted via phone (352) 728-2532.

Contact Information

Primary practice address
732 North Third Street Leesburg FL 31748
Phone: (352) 728-2532
Fax: (352) 728-3004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME24875 Florida
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME24875 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME24875 Florida

Profile Details

NPI number 1033143912
LBN Legal business name Mathew, Lourdes M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033143912 NPPES
Florida Other 35146 BCBS
Florida MEDICAID 056387100 BCBS
Florida MEDICAID 056387101 BCBS

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