Tiffany Lake-luckett is a family nurse practitioner in Aurora, IL with 3 years of experience. Tiffany Lake-luckett NPI is 1538808100. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2340 S EOLA RD STE 100
AURORA, IL
ZIP 60503-410
Phone: (630) 692-5190
Fax: (630) 692-5185
The NPI 1538808100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/1/2022 and was last updated on 9/9/2022.