Individual
LOREN L FAABORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14044 W CAMELBACK RD, SUITE 118, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Mailing address
13050 N 103RD AVE, SUN CITY, AZ 85351-3011
(623) 547-2600
(623) 547-1899
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
33356
AZ
207VX0000X
Obstetrics Physician
13067
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04010
BCBS
NE
05
—
103447200
—
WY
Enumeration date
07/07/2005
Last updated
06/11/2015
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