Organization
LAKELAND REGIONAL HEALTH SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (EVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
4406 S FLORIDA AVE STE 17, LAKELAND, FL 33813-2182
(863) 646-5088
(863) 904-4701
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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