TIFFANY LAKE-LUCKETT
Nurse Practitioner - Family
Active
Individual
NPI: 1538808100
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 209.025453 (IL) |
Frequently Asked Questions
NPI 1538808100 is the National Provider Identifier for TIFFANY LAKE-LUCKETT, a Nurse Practitioner - Family provider located in Aurora, IL. This NPI was enumerated on June 1, 2022.
TIFFANY LAKE-LUCKETT practices at 2340 S EOLA RD STE 100, Aurora, IL 60503.
Quick Facts
- NPI
- 1538808100
- Type
- Individual
- Enumerated
- Jun 1, 2022
- Last Updated
- Sep 9, 2022
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