Provider Demographics
NPI:1629068598
Name:GALAN, LILIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:
Last Name:GALAN
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 1:108 NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2645
Mailing Address - Country:US
Mailing Address - Phone:860-886-5588
Mailing Address - Fax:860-886-5535
Practice Address - Street 1:108 NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2645
Practice Address - Country:US
Practice Address - Phone:860-886-5588
Practice Address - Fax:860-886-5535
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT020576298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT7371508OtherCIGNA
CT004243284Medicaid
CT2862708OtherAETNA
CT777311OtherCONNECTICARE
CTP2666896OtherOXFORD
CT00134900104OtherBLUE CARE FAMILY PLAN
CT010034900CT03OtherANTHEM BLUE CROSS
CT020576298OtherUNITED HEALTHCARE
CT2V1398OtherHEALTH NET
CTP00002028OtherRAILROAD MEDICARE
CTP00002028OtherRAILROAD MEDICARE
CT2862708OtherAETNA