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Organization

LAKELAND REGIONAL HEALTH SYSTEM, INC.

Active
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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
1637 SHEPHERD RD, LAKELAND, FL 33811-2122
(863) 284-1626
(863) 284-1627
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
208D00000X
General Practice Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
04/18/2024
Last updated
11/18/2024
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