Provider Demographics
NPI:1811785249
Name:LCC INC
Entity type:Organization
Organization Name:LCC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELECTROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRACKEN
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED ELECTROLOGI
Authorized Official - Phone:856-874-1984
Mailing Address - Street 1:1930 MARLTON PIKE EAST E-31
Mailing Address - Street 2:EXECUTIVE MEWS
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003
Mailing Address - Country:US
Mailing Address - Phone:856-874-1984
Mailing Address - Fax:
Practice Address - Street 1:1930 MARLTON PIKE EAST E-31
Practice Address - Street 2:EXECUTIVE MEWS
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003
Practice Address - Country:US
Practice Address - Phone:856-874-1984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center