| Doctor Name: | MR. LANCE WEBSTER WEGENER |
| NPI Number: | 1023067667 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP-C |
| License Number: | ARNP 1062972 |
| Business Practice Address: | 2144 Welbilt Blvd Trinity, FL - 346555186 |
| Business Phone Number: | 7278594100 |
| Business Fax Number: | |
| Mailing Address: | 7064 San Lucas Ct, NEW PORT RICHEY |
| State: | FL |
| Postal Code: | 346553600 |
| Phone Number: | 7275054519 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2006 |
| NPI Last Update Date: | 03/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP 1062972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |