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

Lakeland Regional Health Systems, Inc

Organization Family Medicine Physician · NPI 1083463129

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

In the registry since
2024
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

930 Marcum Rd Ste 10
Lakeland, FL 33809-4308
Phone: (863) 284-6800
Fax: (863) 284-1669
Show map & directions

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
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1083463129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedMay 13, 2024
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

Other providers in Lakeland