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Lakeland Regional Health Systems, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Lakeland, FL

NPI 1609280635 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1609280635
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
LAKELAND REGIONAL HEALTH SYSTEMS, INC.
Practice address
3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965
Phone
(863) 603-6565
Fax
(863) 904-1961
NPI assigned
Jun 18, 2014
Organization subpart
No

Authorized official

Name
Lance Green
Title
Cfo
Phone
(863) 687-1100

Corporate family (same tax ID) 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2242485Lakeland Regional Health Systems Inc
3525 Lakeland Hills Blvd, Room 240, Lakeland, FL 33805		AccreditationApr 27, 2027

National Provider Directory

Tax ID family
Lakeland Regional Health Systems Inc (34 organizations share this tax ID)

Locations

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X
Hematology (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0000X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RH0003X
Interventional Cardiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RI0011X
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RN0300X
Gynecologic Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VX0201X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Plastic and Reconstructive Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2086S0122X
Surgical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2086X0206X
Urology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208800000X
Multi-Specialty Clinic/Center 261QM1300X FL Yes
Adult Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LA2200X
Obstetrics & Gynecology Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LX0001X

Addresses

Primary practice location

3525 Lakeland Hills Blvd
Lakeland, FL 33805-1965

Mailing address

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

Other identifiers

IdentifierTypeStateIssuer
263421010MedicaidFL

Other names

  • Hollis Cancer Center Campus Other name

Other providers in Lakeland, FL

All providers in Lakeland, FL · Multi-Specialty Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.