Individual
LAKESHA LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 E CHESTNUT DR, OAK CREEK, WI 53154-1614
(414) 397-2528
Mailing address
2330 E CHESTNUT DR, OAK CREEK, WI 53154-1614
(414) 397-2528
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0020376
WI
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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