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Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC
Active
Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (EVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
300 PARKVIEW PL FL 33805, LAKELAND, FL 33805-4550
(863) 687-1300
(863) 687-1305
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421018
—
FL
Enumeration date
05/27/2021
Last updated
01/04/2023
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