Provider Demographics
NPI:1538485800
Name:LUCIANI, JULIANA MARIA (MS, RD)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:MARIA
Last Name:LUCIANI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 OLD UNION RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-2728
Mailing Address - Country:US
Mailing Address - Phone:716-608-7697
Mailing Address - Fax:716-668-2671
Practice Address - Street 1:2238 OLD UNION RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-2728
Practice Address - Country:US
Practice Address - Phone:716-608-7697
Practice Address - Fax:716-668-2671
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2838133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered