MEDICARE: DR. LANCE J WROBEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G26153	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G261530G89	OTHER	CA	CAL-OPTIMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982607503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANCE J WROBEL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31063
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92654-1063
Country	:	US
Telephone Number	:	949-586-3200
Fax Number	:	949-900-2136

Provider Business Practice Location Address
First Line	:	24331 EL TORO RD
Second Line	:	STE 200
City	:	LAGUNA WOODS
State	:	CA
Zip	:	92637-2753
Country	:	US
Telephone Number	:	949-586-3200
Fax Number	:	949-900-2136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/27/2007

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Directions to “ DR. LANCE J WROBEL M.D.” Practice Location

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