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

Tiffany Lake-Luckett

Individual provider Family Nurse Practitioner · NPI 1538808100

Tiffany Lake-Luckett is a Family Nurse Practitioner in Aurora, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

2340 S Eola Rd Ste 100
Aurora, IL 60503-6410
Phone: (630) 692-5190
Fax: (630) 692-5185
Show map & directions

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

Additional practice locations (1)

  • 400 N Highland Ave, Aurora, IL 60506-3814 — (630) 978-2532

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.025453 (IL)

Record details

NPI number1538808100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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