MEDICARE: DR. LAURA SECH MCCRACKEN 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	207V00000X	Obstetrics & Gynecology Physician	A112684	CA

General Provider Information

NPI Number	:	1083856975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA SECH MCCRACKEN M.D.

Provider Business Mailing Address
First Line	:	4601 ALMOND AVE
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-3118
Country	:	US
Telephone Number	:	714-387-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	1347 PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3127
Country	:	US
Telephone Number	:	269-330-4272
Fax Number	:	323-226-3509

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

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	12/21/2021

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