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 Internal Medicine Physician · NPI 1740952365

Lakeland Regional Health Systems, Inc is an Internal Medicine 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

901 S Lakeside Ave
Lakeland, FL 33803-1022
Phone: (863) 638-5433
Fax: (863) 688-5521
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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
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
General Practice Physician Taxonomy 208D00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1740952365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedOctober 1, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateDecember 22, 2022
Mailing address1324 Lakeland Hills Blvd, Managed Care Dept, Lakeland, FL 33805

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