Pavillion - Obgyn

LBN: Lakeland Regional Health System, Inc.
Pavillion - Obgyn is an health care organization with primary practice located at 1324 Lakeland Hills Blvd Pavillion - Obgyn, Lakeland FL 33805-4543. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Lakeland Regional Health System, Inc. can be contacted via phone (863) 284-6860, or through Green, Lance via phone (863) 687-1100.

Contact Information

Primary practice address
1324 Lakeland Hills Blvd Pavillion - Obgyn Lakeland FL 33805-4543
Phone: (863) 284-6860
Fax: (863) 688-7959
Website:
Map and Directions
Authorized official contact:
Name: Green, Lance
Phone: (863) 687-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Florida
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1487068672
LBN Legal business name Lakeland Regional Health System, Inc.
DBA Doing business as Pavillion - Obgyn
Authorized official Green, Lance
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2014
Last updated Jan 4th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487068672 NPPES
Florida MEDICAID 263421009

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