Search › Illinois › 363LF0000X
Tiffany Lake-Luckett
NPI 1538808100 · on the registry since 2022
Practice
- Address
- 2340 S Eola Rd Ste 100
Aurora, IL 60503 - Phone
- (630) 692-5190
- Fax
- (630) 692-5185
- Clinicians at this address
- 6
Additional practice sites
- 400 N Highland Ave, Aurora, IL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois