DR. LAWRENCE KENNETH WICKHAM M. D.
NPI 1982667820
Pediatrics - Neonatal-Perinatal Medicine in Orange, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

Active since April 11, 2006PECOS Enrolled

455 S MAIN ST, ORANGE, CA 92868(714) 532-8622(714) 289-4508 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Lawrence Kenneth Wickham M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE KENNETH WICKHAM M. D. (NPI 1982667820) is an individual neonatal-perinatal medicine provider in Orange, California, licensed in California (A29385) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982667820

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. LAWRENCE KENNETH WICKHAMCredential: M. D.

Location Address455 S MAIN STOrange, CA 92868-3835

Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 532-8622 · Fax (714) 289-4508

Phone(714) 532-8622

Fax(714) 289-4508

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982667820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A29385

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

455 S MAIN ST, Orange, CA 92868

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence Kenneth Wickham M. D. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.