MEDICARE: DR. LAURENCE H. TECOTT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G68302	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033221502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURENCE H. TECOTT M.D.

Provider Business Mailing Address
First Line	:	4546 EL CAMINO REAL STE B7
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1069
Country	:	US
Telephone Number	:	866-362-4246
Fax Number	:	650-260-6030

Provider Business Practice Location Address
First Line	:	4546 EL CAMINO REAL STE B7
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94022-1069
Country	:	US
Telephone Number	:	866-362-4246
Fax Number	:	650-260-6030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/14/2024

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