Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeland Regional Health System, Inc

Organization Family Medicine Physician · NPI 1851146468

Lakeland Regional Health System, Inc is a Family Medicine Physician in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1637 Shepherd Rd
Lakeland, FL 33811-2122
Phone: (863) 284-1626
Fax: (863) 284-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1851146468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedApril 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

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