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LAKELAND REGIONAL HEALTH SYSTEM, INC.
NPI 1487453247
Orthopaedic Surgery in Lakeland, FL

Active since March 12, 2025CLIA Certified · 3 labs
2000 E EDGEWOOD DR STE 112, LAKELAND, FL 33803(863) 666-3436 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeland Regional Health System, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELAND REGIONAL HEALTH SYSTEM, INC. (NPI 1487453247) is a healthcare organization registered as an orthopaedic surgery in Lakeland, Florida and active in the NPI registry since March 2025. The organization holds 3 active CLIA laboratory certificates and lists Lance Green, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1487453247
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameLAKELAND REGIONAL HEALTH SYSTEM, INC.
Location Address2000 E EDGEWOOD DR STE 112Lakeland, FL 33803-3639
Mailing Address1324 Lakeland Hills Blvd, Attn: Managed CareLakeland, FL 33805 · (863) 687-1100
Phone(863) 666-3436
Organization SubpartNo
Authorized OfficialLance GreenEvp/cfo · (863) 687-1100
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1487453247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2000 E EDGEWOOD DR STE 112, Lakeland, FL 33803
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2023334

Lakeland Regional Health · Lakeland, FL
Active · expires Apr 19, 2027
CLIA Number10D2023334
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health3030 Harden Blvd, Lakeland, FL 33803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0292578

Lakeland Regional Health · Lakeland, FL
Active · expires Apr 15, 2027
CLIA Number10D0292578
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2025
Certificate Expiration DateApril 15, 2027
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health130 Pablo St, Lakeland, FL 33803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D0921059

Lakeland Regional Health · Lakeland, FL
Active · expires Oct 17, 2026
CLIA Number10D0921059
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health3015 Lakeland Highlands Rd, Lakeland, FL 33803
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OLUKEMI O. FAJOLU M.D.
Orthopaedic Surgery (Hand Surgery)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
JOHN LONG PA
Physician Assistant
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
CHRISTINE H CHRISTENSEN APRN
Nurse Practitioner (Family)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
MICHELLE LANDON GIAMPOALA APRN
Nurse Practitioner
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
JESSICA LYNN HAMILTON PA
Physician Assistant
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
KELLY KRIEGER ROBERTS ARNP
Nurse Practitioner (Adult Health)
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436
TIMOTHY EVANS MD
Orthopaedic Surgery
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803
Polk County (863) 666-3436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeland Regional Health System, Inc.'s NPI number?

The NPI number for Lakeland Regional Health System, Inc. is 1487453247. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Lakeland Regional Health System, Inc. located?

Lakeland Regional Health System, Inc. is located at 2000 E Edgewood Dr Ste 112, Lakeland, FL 33803. The listed phone number is (863) 666-3436.

What is Lakeland Regional Health System, Inc.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Lakeland Regional Health System, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lakeland Regional Health System, Inc. was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.