Doctor Name: | DR. DANIELLE ELIZABETH LUCIANO |
NPI Number: | 1447239413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 043408 |
Business Practice Address: | 1115 West St 2nd Floor Southington, CT - 064896025 |
Business Phone Number: | 8602766043 |
Business Fax Number: | 8602766059 |
Mailing Address: | 263 Farmington Ave, Provider Enrollment FARMINGTON |
State: | CT |
Postal Code: | 060302212 |
Phone Number: | 8606792792 |
Fax Number: | 8606791494 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 04/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 043408 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |