Lakeland Volunteers in Medicine

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

695832 Issued in FL

Legal business name

LAKELAND VOLUNTEERS IN MEDICINE

Practice address

1021 Lakeland Hills Blvd
Lakeland, FL 33805-4672

Phone

(863) 688-5846

Fax

(863) 688-5846

NPI assigned

Nov 16, 2009

Last updated

Nov 16, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sue Russell, RN

Title

Executuve Director

Phone

(863) 688-5846

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1487981262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054672",
            "telephone_number": "863-688-5846",
            "fax_number": "863-688-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054672",
            "telephone_number": "863-688-5846",
            "fax_number": "863-688-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND VOLUNTEERS IN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "EXECUTUVE DIRECTOR",
        "authorized_official_telephone_number": "863-688-5846",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "695832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeland Surgical & Diagnostic Center LLP (Griffin Rd Campus of LSDC)
• Lakeland Therapy Providers, Inc
• Lakeland Therapy Providers, Inc.
• Lakeland Urology PA
• Lakeland Volunteers in Medicine
• Lakeland Women's Health Center, Inc.
• Lakeland's Children Therapy Center, LLC
• Lakeside Medical Centers, Inc.
• Lakeside of Lakeland Inc
• Lakeside Pediatrics

• Community Health Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.