Individual
REBECCA L SCERPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5900 S. LAKE DR., LAKESHORE MEDICAL CLINIC, CUDAHY, WI 53110-3171
(414) 489-4190
(414) 489-4015
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 489-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39572-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33329900
—
WI
Enumeration date
11/01/2006
Last updated
10/19/2023
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