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NPI Code Detail

MEDICARE: BRENDA LAVON SMITH

MEDICARE:   BRENDA LAVON SMITH
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
1372500000XChore ProviderNE
2372600000XAdult CompanionNE
33747P1801XPersonal Care AttendantNE
4376J00000XHomemakerNE

General Provider Information

NPI Number : 1285591131
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA LAVON SMITH
Provider Business Mailing Address
First Line : 4535 NORMAL BLVD STE 235
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2891
Country : US
Telephone Number : 402-207-1050
Fax Number :
Provider Business Practice Location Address
First Line : 4535 NORMAL BLVD STE 235
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2891
Country : US
Telephone Number : 402-207-1050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ BRENDA LAVON SMITH ” Practice Location

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