Randolph Community Clinic SC
Randolph Community Clinic SC provides Family Medicine Physician services in Randolph, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
504 S High StRandolph, WI 53956 Not confirmed with CMS for 18 years — call before visiting
Phone: (920) 326-5060
Fax: (920) 326-5061
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 36988020 (WI) |
|---|
Record details
| NPI number | 1497832257 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Lucarelli — President · (920) 326-5060 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | 504 S High St, Po Box 101, Randolph, WI 53956-1499 |
Other providers in Randolph
-
Melissa Elaine Lucarelli, MD
504 S High St, Randolph, WI 53956 · (920) 326-5060