Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (EVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
300 PARKVIEW PL FL 33805, LAKELAND, FL 33805-4550
(863) 687-1300
(863) 687-1305
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 630-6528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421018
—
FL
Enumeration date
05/27/2021
Last updated
01/04/2023
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