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Individual

DR. CARMEN S LUCIANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
324 ELM ST, STE 101A, MONROE, CT 06468-2281
(203) 261-9700
(203) 459-8974
Mailing address
324 ELM ST, STE 101A, MONROE, CT 06468-2281
(203) 261-9700
(203) 459-8974

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000115
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004006219
CT
01
030000115CT02
ANTHEM BLUE CROSS/BLUE SH
CT
01
061556408-0002
CIGNA
CT
01
1529188
UNITED HEALTHCARE
CT
01
1952555062
DMERC
CT
01
2178064
AETNA
CT
01
OV5650
HEALTH NET
CT
01
ZS536
OXFORD
CT
Enumeration date
06/09/2005
Last updated
02/17/2011
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