| Lakeland Regional Health System, Inc | |
|
3644 Innovation Dr Lakeland FL 33812-4105 | |
| (863) 284-1583 | |
| (863) 413-4822 |
| Full Name | Lakeland Regional Health System, Inc |
|---|---|
| Speciality | General Practice |
| Location | 3644 Innovation Dr, Lakeland, Florida |
| Authorized Official Name and Position | Lance Green (CFO) |
| Authorized Official Contact | 8636871100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Regional Health System, Inc 1324 Lakeland Hills Blvd Managed Care Dept Lakeland FL 33805 Ph: (863) 687-1100 | Lakeland Regional Health System, Inc 3644 Innovation Dr Lakeland FL 33812-4105 Ph: (863) 284-1583 |
| NPI Number | 1114393469 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114393469 | NPI | - | NPPES |
| 263421022 | Medicaid | FL |
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