# LAKELAND VOLUNTEERS IN MEDICINE

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

## Provider details

- **NPI number:** 1487981262
- **Authorized official:** MS. SUE RUSSELL RN (EXECUTUVE DIRECTOR)
- **Authorized official phone:** (863) 688-5846

## Contact information

- **Practice address:** 1021 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4672
- **Practice address phone:** (863) 688-5846
- **Practice address fax:** (863) 688-5846
- **Mailing address:** 1021 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4672
- **Mailing address phone:** (863) 688-5846
- **Mailing address fax:** (863) 688-5846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 695832 | FL | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 11/16/2009