# LAKELAND REGIONAL HEALTH SYSTEMS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeland Highlands Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508258906
- **Authorized official:** MR. LANCE GREEN (VP CFO)
- **Authorized official phone:** (863) 687-1100

## Contact information

- **Practice address:** 3015 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4339
- **Practice address phone:** (863) 682-7737
- **Practice address fax:** (863) 682-0761
- **Mailing address:** 1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
- **Mailing address phone:** (863) 687-1100
- **Mailing address fax:** (863) 687-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | FL | Yes |

## Other

- **Enumeration date:** 02/23/2015
- **Last updated:** 11/06/2023