Nurse Practitioner, Obstetrics & Gynecology
LAKELAND REGIONAL HEALTH SYSTEMS, 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 Plan acceptance stays unpublished until the practice reports it.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 1689336588 · enumerated 2021-10-07 · record updated 2023-01-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LANCE GREEN, EVP/CFO · (863) 687-1100
Addresses and phones
- Practice location 1525 LAKELAND HILLS BLVD, LAKELAND, FL, 33805-3203 (863) 511-2140 Fax (863) 413-8518 Google Maps Apple Maps OpenStreetMap
- Mailing address 1324 LAKELAND HILLS BLVD, MANAGED CARE DEPT, LAKELAND, FL, 33805 (863) 687-1100 Google Maps Apple Maps OpenStreetMap
Specialties
- Obstetrics & Gynecology 207V00000X
- General Practice 208D00000X
- Clinic/Center, Multi-Specialty 261QM1300X
- Advanced Practice Midwife 367A00000X
- Nurse Practitioner, Obstetrics & Gynecology 363LX0001X · Primary
In this directory
FL Polk County Lakeland Nurse Practitioner, Obstetrics & Gynecology
Locations and evidence
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Practice location
LAKELAND, FL, 338053203
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.