Individual
ANDREW K LOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
151 S SUNRISE WAY, SUITE 300, PALM SPRINGS, CA 92262-0118
(760) 969-7780
Mailing address
72780 COUNTRY CLUB DR, BLDG B 203, RANCHO MIRAGE, CA 92270-4126
(760) 674-3847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1060527
WI
363A00000X
Physician Assistant
Primary
PA20941
CA
Other
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
Enumeration date
12/15/2005
Last updated
02/29/2016
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