Individual
DR. LAWRENCE R ROUBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28400 MCCALL BLVD, MENIFEE, CA 92585-9658
(661) 432-3694
Mailing address
3805 SAN DIMAS ST STE B, BAKERSFIELD, CA 93301-5725
(803) 592-0105
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G73813
CA
207RP1001X
Pulmonary Disease Physician
G73813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330391
KY ACCESS
KS
01
—
000000330391
BLUE SHIELD
KY
01
—
000000616427
ANTHEM- NORTON INPATIENT SPECIALISTS
KY
01
—
000023036Q
HUMANA- NORTON INPATIENT SPECIALISTS
KY
01
—
00533134
MEDICARE- NORTON INPATIENT SPECIALISTS
KY
01
—
051953
SIHO
—
01
—
200116640
MEDICAID INDIANA- NORTON INPATIENT SPECIALISTS
KY
05
—
200116640A
—
IN
05
—
2442925000
—
KY
01
—
3728765000
PASSPORT ADVANTAGE- NORTON INPATIENT SPECIALISTS
KY
05
—
50001316
—
KY
01
—
50025004
PASSPORT- NORTON INPATIENT SPECIALISTS
KY
05
—
64260706
—
KY
Enumeration date
05/23/2006
Last updated
10/31/2019
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