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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
4729 US HIGHWAY 98 S STE 104, LAKELAND, FL 33812-4323
(863) 284-1500
(863) 284-1501
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
207RI0011X
Interventional Cardiology Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
06/13/2024
Last updated
05/12/2025
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