Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (SENIOR VP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT, LAKELAND, FL 33805
(863) 687-7251
(863) 687-1473
Mailing address
1324 LAKELAND HILLS BLVD, FINANCE DEPARTMENT, LAKELAND, FL 33805
(863) 687-7251
(863) 687-1473
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
207L00000X
Anesthesiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
800018020
FL
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421000
—
FL
Enumeration date
08/23/2005
Last updated
05/24/2023
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