Organization · NPI-2

Lakeland Regional Health Systems, INC.

Clinic/Center, Multi-Specialty · Lakeland, FL

NPI number1497748743

StatusActive

Last updated in NPPESMay 24, 2023

Details

NPI: 1497748743
Entity type: Organization (NPI-2)
Legal business name: Lakeland Regional Health Systems, INC.
Organization subpart: No
Enumeration date: Aug 23, 2005
Certification date: May 24, 2023
Last updated: May 24, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QM1300X	Clinic/Center, Multi-Specialty	800018020	FL	Yes
163WD0400X	Registered Nurse, Diabetes Educator	–	–
207L00000X	Anesthesiology	–	–
207RN0300X	Internal Medicine, Nephrology	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
207X00000X	Orthopaedic Surgery	–	–
207XX0801X	Orthopaedic Surgery, Orthopaedic Trauma	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
2084P0804X	Psychiatry & Neurology, Child & Adolescent Psychiatry	–	–
2086S0102X	Surgery, Surgical Critical Care	–	–
2086S0122X	Surgery, Plastic and Reconstructive Surgery	–	–
2086S0127X	Surgery, Trauma Surgery	–	–
208D00000X	General Practice	–	–
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–

Practice location

1324 Lakeland Hills Blvd
Finance Department
Lakeland, FL 33805

Phone 863-687-7251 · Fax 863-687-1473

Mailing address

1324 Lakeland Hills Blvd
Finance Department
Lakeland, FL 33805

Phone 863-687-7251 · Fax 863-687-1473

Authorized official

Lance Green
Senior Vp/Cfo
8636871100

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