Laura J McCrackin, MD, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

41108 Issued in CO

Legal business name

LAURA J MCCRACKIN, MD, PC

Practice address

95 Stafford LN
Delta, CO 81416-3465

Phone

(970) 874-8026

Fax

(970) 874-5430

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura J McCrackin, MD

Title

Physician/Owner

Phone

(970) 874-8026

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1720162142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1129",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161129",
            "telephone_number": "970-874-2470",
            "fax_number": "970-874-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814163465",
            "telephone_number": "970-874-8026",
            "fax_number": "970-874-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA J MCCRACKIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "MCCRACKIN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "970-874-8026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CO",
            "license": "41108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77683269",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "MC662516",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Lake
• Kenneth B Lake, CRNA
• Gregory Lee Lane, D.C.
• Robert L Lang, MA
• Ryan Latter
• Marisa V Laurora, D.O.
• Lyn Kathryn Lawhead, LCSW
• Lendol W Lawrence, LPC
• Matthew David Paul Lebsack, MD
• Kathleen Mary Lehner, PHARMD

• Surgery Physician in Delta, CO
• Providers in Delta, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.