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

Lakeland Regional Health Systems, Inc

Organization Obstetrics & Gynecology Physician · NPI 1689336588

Lakeland Regional Health Systems, Inc is an Obstetrics & Gynecology Physician in Lakeland, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
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

1525 Lakeland Hills Blvd
Lakeland, FL 33805-3203
Phone: (863) 511-2140
Fax: (863) 413-8518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
General Practice Physician Taxonomy 208D00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1689336588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedOctober 7, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

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