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NPI Code Detail

MEDICARE: LILY JEAN RODRIGUEZ

MEDICARE: LILY JEAN RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1255288700
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY JEAN RODRIGUEZ
Provider Business Mailing Address
First Line : 715 N LEXINGTON AVE APT 3
Second Line :
City : HASTINGS
State : NE
Zip : 68901-4575
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3219 CENTRAL AVE STE 103
Second Line :
City : KEARNEY
State : NE
Zip : 68847-2949
Country : US
Telephone Number : 402-982-3972
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ LILY JEAN RODRIGUEZ ” Practice Location

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