Provider Demographics
NPI:1245005289
Name:LUCIANO, LILIANA MARIA (DC)
Entity type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:MARIA
Last Name:LUCIANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MALEA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-9043
Mailing Address - Country:US
Mailing Address - Phone:949-280-7259
Mailing Address - Fax:
Practice Address - Street 1:24471 ALICIA PKWY STE 2
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-4542
Practice Address - Country:US
Practice Address - Phone:949-779-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor