Individual
DR. DANIELLE ELIZABETH LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1115 WEST ST, 2ND FLOOR, SOUTHINGTON, CT 06489-6025
(860) 276-6043
(860) 276-6059
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-2792
(860) 679-1494
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
043408
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001434084
—
CT
01
—
010043408 CT 01
ANTHEM BC & BS NB OFFICE
CT
01
—
010043408 CT 02
ANTHEM BC & BS HTFD. OFF
—
01
—
20-1997579
UNITED HEALTH CARE
CT
01
—
294113
WELLCARE PREFERRED ONE
CT
01
—
2V7377
HEALTHNET
CT
01
—
7253733
AETNA
CO
Enumeration date
01/10/2006
Last updated
11/07/2022
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