Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (EVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
3003 S FLORIDA AVE STE 203, LAKELAND, FL 33803-4050
(863) 688-2700
(863) 688-8240
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MANAGED CARE, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
03/25/2026
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