Organization
LAKELAND REGIONAL MEDICAL CENTER, INC.
Active
Other names
LAKELAND REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 687-1473
Mailing address
1324 LAKELAND HILLS BLVD, 1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 687-1473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
4413
FL
273Y00000X
Rehabilitation Hospital Unit
4413
FL
282N00000X
General Acute Care Hospital
Primary
4413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010164800
—
FL
Enumeration date
07/11/2005
Last updated
10/31/2023
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