MEDICARE: DR. CARMEN S LUCIANO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	000115	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061556408-0002	OTHER	CT	CIGNA
2	ZS536	OTHER	CT	OXFORD
3	030000115CT02	OTHER	CT	ANTHEM BLUE CROSS/BLUE SH
4	1529188	OTHER	CT	UNITED HEALTHCARE
5	1952555062	OTHER	CT	DMERC
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	OV5650	OTHER	CT	HEALTH NET
8	2178064	OTHER	CT	AETNA

General Provider Information

NPI Number	:	1366446072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARMEN S LUCIANO DPM

Provider Business Mailing Address
First Line	:	324 ELM ST
Second Line	:	STE 101A
City	:	MONROE
State	:	CT
Zip	:	06468-2281
Country	:	US
Telephone Number	:	203-261-9700
Fax Number	:	203-459-8974

Provider Business Practice Location Address
First Line	:	324 ELM ST
Second Line	:	STE 101A
City	:	MONROE
State	:	CT
Zip	:	06468-2281
Country	:	US
Telephone Number	:	203-261-9700
Fax Number	:	203-459-8974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	02/17/2011

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Directions to “ DR. CARMEN S LUCIANO DPM” Practice Location

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