Provider Demographics
NPI:1235105909
Name:GALETARI, LUCIA C (MD)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:C
Last Name:GALETARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29099 HEALTH CAMPUS DR STE 120
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5255
Mailing Address - Country:US
Mailing Address - Phone:440-835-0455
Mailing Address - Fax:440-835-3046
Practice Address - Street 1:29099 HEALTH CAMPUS DR STE 120
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5255
Practice Address - Country:US
Practice Address - Phone:440-835-0455
Practice Address - Fax:440-835-3046
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 06 6916 G207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000475626OtherANTHEM
OH74317410928OtherCARESOURCE
OH0175617Medicaid
OH743174109OtherUNITED HEALTH CARE