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

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X0020376 (WI)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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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.