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Organization
LAKELAND REGIONAL MEDICAL CENTER, INC.
Active
Organization
LAKELAND REGIONAL MEDICAL CENTER, INC.
Active
Other names
LAKELAND REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 687-1473
Mailing address
1324 LAKELAND HILLS BLVD, 1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 687-1473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
4413
FL
273Y00000X
Rehabilitation Hospital Unit
4413
FL
282N00000X
General Acute Care Hospital
Primary
4413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010164800
—
FL
Enumeration date
07/11/2005
Last updated
10/31/2023
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