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Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Other names
FHC
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (SENIOR VP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
320 PARKVIEW PL, LAKELAND, FL 33805-4538
(863) 687-1300
(863) 687-1305
Mailing address
1324 LAKELAND HILLS BLVD., LAKELAND, FL 33805
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421015
—
FL
Enumeration date
06/26/2007
Last updated
01/04/2023
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