General Practice
LAKELAND REGIONAL HEALTH SYSTEM, INC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114393469 · enumerated 2015-08-20 · record updated 2023-04-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LANCE GREEN, CFO · (863) 687-1100
Addresses and phones
- Practice location 3644 INNOVATION DR, LAKELAND, FL, 33812-4105 (863) 284-1583 Fax (863) 413-4822 Google Maps Apple Maps OpenStreetMap
- Mailing address 1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL, 33805 (863) 687-1100 Fax (863) 630-6528 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center, Multi-Specialty 261QM1300X
- Physician Assistant 363A00000X
- Physician Assistant, Surgical 363AS0400X
- Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X
- General Practice 208D00000X · Primary
In this directory
Locations and evidence
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Practice location
LAKELAND, FL, 338124105
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.