Loren N Vorlicky, M.D.
Individual provider Active NPI Pediatrics Physician · Cable, WI
NPI 1992035299 · NPPES record last updated Jan 8, 2010
Key facts
- NPI
- 1992035299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 13850-20 (WI)
- Practice address
- 43570 Kavanaugh Rd
Cable, WI 54821-4947 - Phone
- (715) 798-3124
- Fax
- (715) 798-3341
- NPI assigned
- Jan 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13850-20 | WI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ri-Lee Medical Staffing, Inc. | Past | Accepting new patients | |
| Cable Chiropractic Clinic, S.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13850-20 | WI | Yes |
Addresses
Primary practice location
43570 Kavanaugh Rd
Cable, WI 54821-4947
Mailing address
PO Box 130
Cable, WI 54821-0130
Phone (715) 798-3124
Other providers in Cable, WI
- Jeffrey Edwin Eichten
- Great Divide Ambulance Service
- Aaron Thomas Hamilton
- Deborah L McFadden
- Timothy Eugene Tully
All providers in Cable, WI · Pediatrics Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.