Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Lakeland Regional Health System, Inc

Organization Family Medicine Physician · NPI 1710701685

Lakeland Regional Health System, Inc provides Family Medicine Physician services in Lakeland, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
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

5101 US Highway 98 S
Lakeland, FL 33812-4384
Phone: (863) 284-1662
Fax: (863) 284-1663
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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
Family Medicine Physician Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1710701685
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lance Green — Evp/Cfo · (863) 687-1100
NPI enumeratedNovember 8, 2024
Last updated in NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

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