Individual provider · Type 1 NPI
Lakesha Luckett
Adult Medicine Physician · Oak Creek, WI
NPI number
1063223626
Active
Practice location
2330 E Chestnut Dr
Oak Creek, WI 53154-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 0020376 (WI) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Oak Creek
About NPI 1063223626
Lakesha Luckett's National Provider Identifier is 1063223626, issued on Jan 14, 2025. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Oak Creek, WI. The record was last updated on Jan 14, 2025.