# LAKELAND REGIONAL HEALTH SYSTEMS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FHC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184820037
- **Authorized official:** LANCE GREEN (SENIOR VP/CFO)
- **Authorized official phone:** (863) 687-1100

## Contact information

- **Practice address:** 320 PARKVIEW PL, LAKELAND, FL 33805-4538
- **Practice address phone:** (863) 687-1300
- **Practice address fax:** (863) 687-1305
- **Mailing address:** 1324 LAKELAND HILLS BLVD., LAKELAND, FL 33805
- **Mailing address phone:** (863) 687-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 06/26/2007
- **Last updated:** 01/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 263421015 | — | FL |