# LAKELAND BIRTH AND GYNECOLOGY LLC

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

## Provider details

- **NPI number:** 1952216186
- **Authorized official:** ASHLEY N PAYNE APRN, CNM (OWNER)
- **Authorized official phone:** (863) 666-7555

## Contact information

- **Practice address:** 2225 E EDGEWOOD DR STE 9, LAKELAND, FL 33803-3634
- **Practice address phone:** (863) 666-7555
- **Practice address fax:** (726) 239-5636
- **Mailing address:** 4208 OLLIE RD, LAKELAND, FL 33810-0122
- **Mailing address phone:** (863) 666-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2026
- **Last updated:** 09/04/2026
