Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiera Lakes

Individual provider Licensed Practical Nurse · NPI 1902316391

Tiera Lakes is a Licensed Practical Nurse in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

600 Wayne Ave
Dayton, OH 45410-1122
Phone: (937) 496-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence LPN.165421.MEDS-IV (OH)

Record details

NPI number1902316391
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESOctober 11, 2017
Mailing address600 Wayne Ave, Dayton, OH 45410-1122

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