OrganizationActive
Lakeland Community Health LLC
NPI 1700658150 · Nutrition Education Nutritionist · Lakeland, FL
Provider details
- NPI number
- 1700658150
- Entity type
- Organization
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kursula Kirby, Ceo(863) 617-2314
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Health Educator174H00000X
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
- Case Management Agency251B00000X
Agencies
- Home Health Agency251E00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
Practice location
122 E Main St
Lakeland, FL 33801-4655
Phone: (863) 617-2314
Approximate (ZIP-level) locationGet directions
Mailing address
122 E Main St # 111
Lakeland, FL 33801-4655
Registry dates
- Enumerated
- 2023-10-27
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.