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General NPI Number Information
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NPI Number | 1912871344
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Entity Type | Organization
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Legal Business Name | LAKELAND REGIONAL HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4120 US HIGHWAY 98 N
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City | LAKELAND
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State | FL
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Zip | 33809-3854
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Country | US
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Telephone | 863-284-6860
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Fax | 863-688-7959
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Provider Business Mailing Address
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Address Line | 1324 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4543
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Country | US
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Telephone | 863-687-1100
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Fax |
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Authorized Official
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Title or Position | CFO/EVP
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Name | LANCE GREEN
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Credential |
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Telephone | 863-687-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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