# ANDREW K LOBE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346226057
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 1060527 | WI | — |
| 363A00000X | Physician Assistant | PA20941 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2005
- **Last updated:** 02/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1009390 | PHYS PLUS PROV \# | WI |
| 01 | — | 391023846 | COMMERCIAL INS PROV \# | WI |
| 05 | — | 41990000 | — | WI |
| 01 | — | 70 | DEANCARE PROV \# | WI |
| 01 | — | P00160692 | RAILROAD MEDICARE PROV \# | WI |