Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Other names
Pablo Campus
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (VP / CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-5941
(863) 284-5199
Mailing address
ATTN: MANAGED CARE DEPARTMENT, 1324 LAKLELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263421006
—
FL
Enumeration date
05/08/2013
Last updated
01/24/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up