# LAKELAND REGIONAL HEALTH SYSTEM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487453247
- **Authorized official:** LANCE GREEN (EVP/CFO)
- **Authorized official phone:** (863) 687-1100

## Contact information

- **Practice address:** 2000 E EDGEWOOD DR STE 112, LAKELAND, FL 33803-3639
- **Practice address phone:** (863) 666-3436
- **Mailing address:** 1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE, LAKELAND, FL 33805
- **Mailing address phone:** (863) 687-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2025
- **Last updated:** 03/12/2025