Organization Name: | LAKELAND REGIONAL HEALTH SYSTEMS, INC. |
NPI Number: | 1114393469 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EVAN C JONES (EXECUTIVE VICE PRESIDENT/CFO) |
Mailing Address: | 811 S Lakeside Ave Lakeland |
State: | FL US |
Postal Code: | 338154771 |
Phone Number: | 8632845000 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |