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
199 AVENUE B NW STE 310, WINTER HAVEN, FL 33881-4546
(863) 284-1659
(863) 284-1661
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
11/06/2024
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