# LAKELAND REGIONAL HEALTH SYSTEM, INC.

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

## Provider details

- **NPI number:** 1750102802
- **Authorized official:** LANCE GREEN (EVP/CFO)
- **Authorized official phone:** (863) 687-1100

## Contact information

- **Practice address:** 199 AVENUE B NW STE 310, WINTER HAVEN, FL 33881-4546
- **Practice address phone:** (863) 284-1659
- **Practice address fax:** (863) 284-1661
- **Mailing address:** 1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
- **Mailing address phone:** (863) 687-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 11/06/2024