Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Other names
Lakeland Highlands Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE GREEN (VP CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
3015 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4339
(863) 682-7737
(863) 682-0761
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
(863) 687-1473
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421013
—
FL
Enumeration date
02/23/2015
Last updated
11/06/2023
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