Individual
SAMUEL LOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2370
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2370
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042.0017812
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2018
Last updated
04/08/2025
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