Provider Demographics
NPI:1447239413
Name:LUCIANO, DANIELLE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ELIZABETH
Last Name:LUCIANO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:263 FARMINGTON AVE
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-2212
Mailing Address - Country:US
Mailing Address - Phone:860-679-2792
Mailing Address - Fax:860-679-1494
Practice Address - Street 1:1115 WEST ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-6025
Practice Address - Country:US
Practice Address - Phone:860-276-6043
Practice Address - Fax:860-276-6059
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2022-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT043408207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO7253733OtherAETNA
CT001434084Medicaid
CT010043408 CT 01OtherANTHEM BC & BS NB OFFICE
010043408 CT 02OtherANTHEM BC & BS HTFD. OFF
CT294113OtherWELLCARE PREFERRED ONE
CT2V7377OtherHEALTHNET
CT20-1997579OtherUNITED HEALTH CARE
CT20-1997579OtherPRIVATE HEALTH CARE SYSTE
CT20-1997579OtherCOMMUNITY HEALTH NETWORK
CT294113OtherWELLCARE PREFERRED ONE
CT20-1997579OtherUNITED HEALTH CARE