Individual provider · Type 1 NPI

Ayesha Latifah Lackna, NP

Acute Care Nurse Practitioner · Florissant, MO

NPI number 1285433722 Active

Practice location

615 Rancho Ln
Florissant, MO 63031-1717

Call (847) 235-6130 Map

Fax (847) 235-6135

Mailing address

6348 N Milwaukee Ave # 390
Chicago, IL 60646-3728

Other practice locations

  • 230 Spencer Rd, St. Peters, MO 63376-2425 · (847) 235-6130

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2025006595 (MO)

Acute Care Nurse Practitioner: Definition to come...

7 other providers at this address

About NPI 1285433722

Ayesha Latifah Lackna, NP's National Provider Identifier is 1285433722, issued on Mar 8, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Florissant, MO. The record was last updated on Aug 12, 2026.