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Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC
Active
Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (EVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
511 W ALEXANDER ST, PLANT CITY, FL 33563-7116
(863) 284-5000
(863) 413-4744
Mailing address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805
(863) 687-1100
(863) 630-6528
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
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/27/2021
Last updated
01/04/2023
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