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 1669817144

Lakeland Regional Health Systems, Inc is a Family Medicine Physician in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
15
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

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone: (863) 284-5115
Fax: (863) 413-4739
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 (FL)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Pulmonary Disease Physician Taxonomy 207RP1001X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X
Otolaryngology Physician Taxonomy 207Y00000X
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X
Pediatrics Physician Taxonomy 208000000X
Neurology Physician Taxonomy 2084N0400X
Surgery of the Hand (Surgery) Physician Taxonomy 2086S0105X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1669817144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Vp Cfo · (863) 687-1100
Other names Grasslands Campus; Grasslands Campus
NPI enumeratedMay 9, 2013
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

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