Individual
LAURA MCCRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41108
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030501671001
RMHP
CO
05
—
38603870
—
CO
01
—
MC662516
BCBS
CO
Enumeration date
06/23/2006
Last updated
02/21/2008
Update your record
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