Organization · Type 2 NPI

Lakeland Regional Health System, Inc

General Practice Physician · Lakeland, FL

NPI number 1114393469 Active

Practice location

3644 Innovation Dr
Lakeland, FL 33812-4105

Call (863) 284-1583 Map

Fax (863) 413-4822

Mailing address

1324 Lakeland Hills Blvd, Managed Care Dept
Lakeland, FL 33805

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040XNone listed
General Practice Physician Primary 208D00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

Other general practice physician providers in Lakeland

See all in Lakeland →

About NPI 1114393469

Lakeland Regional Health System, Inc's National Provider Identifier is 1114393469, issued on Aug 20, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lakeland, FL. The record was last updated on Apr 10, 2023.