Organization
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE GREEN (SVP/CFO)
(863) 687-1100
Entity
Organization
Contact information
Practice address
180 AVENUE A SE, WINTER HAVEN, FL 33880-6301
(863) 293-2107
Mailing address
1324 LAKELAND HILLS BLVD., ATTN: MANAGED CARE, LAKELAND, FL 33805-4543
(863) 687-1100
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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