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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
2400 KATHLEEN ROAD, LAKELAND, FL 33810
(863) 687-1100
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
207RI0011X
Interventional Cardiology Physician
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
2086S0127X
Trauma Surgery Physician
208800000X
Urology Physician
208D00000X
General Practice Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
07/18/2023
Last updated
02/23/2026
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