NPI Search for Physicians and Health Care Providers
MELISSA ELAINE LUCARELLI MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1336102169
Individual Registrant:
MELISSA ELAINE LUCARELLI MD
Gender: F
Not Sole Proprietor
Location and contact information for practice:
504 S HIGH STREET RANDOLPH, WI 53956 US
Tel: 920-326-5060 Fax: 920-326-5061
Contact information for business:
504 S HIGH ST PO BOX 101 RANDOLPH, WI 53956-1499 US
Tel: 920-326-5060 Fax: 920-326-5061
Registration Information:
NPI: 1336102169
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine
| WI | 36988020 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
DEAN HEALTH PLAN | 11573 | WI | 01 |
RAILROAD MEDICARE | 080174465 | | 01 |
| 32327000 | WI | 05 |
HEALTH CARE JOBS WI - Page 1