LAKELAND VA CLINIC (673GB) (4651) INSTITUTION (4)

Name	Value
NAME	LAKELAND VA CLINIC (673GB)
STATE	FLORIDA
STREET ADDR. 1	4237 SOUTH PIPKIN
CITY	LAKELAND
ZIP	33811-1442
OFFICIAL VA NAME	LAKELAND VA CLINIC (673GB)
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: TAMPA FL VAMC
BILLING FACILITY NAME	LAKELAND VA CBOC
EFFECTIVE DATE/TIME	2007-01-08 00:00:00 STATUS: ACTIVE NPI: 1811944796
TAXONOMY CODE	Ambulatory Health Care Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	EASTERN
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	673GB
HISTORY