IndividualActive
Anneica Luckett, LPN
NPI 1639548472 · Licensed Practical Nurse · Calumet City, IL
Provider details
- NPI number
- 1639548472
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 308967 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
515 Bensley Ave
Calumet City, IL 60409-3203
Phone: (414) 405-4072
Approximate (ZIP-level) locationGet directions
Mailing address
515 Bensley Ave
Calumet City, IL 60409-3203
Registry dates
- Enumerated
- 2015-09-23
- Last updated
- 2015-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.