# LAKELAND ALLERGY ASTHMA & IMMUNOLOGY

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

## Provider details

- **NPI number:** 1861950008
- **Authorized official:** KATHRYN D CONVERS MD (SOLE MEMBER)
- **Authorized official phone:** (305) 318-6096

## Contact information

- **Practice address:** 4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1671
- **Practice address phone:** (305) 318-6096
- **Mailing address:** 4325 HIGHLAND PARK BLVD, LAKELAND, FL 33813-1671
- **Mailing address phone:** (863) 213-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2019
- **Last updated:** 04/04/2019