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NPI Code Detail

MEDICARE: LYDELL MAURICE HILL

MEDICARE: LYDELL MAURICE HILL
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
1171M00000XCase Manager/Care Coordinator
2172V00000XCommunity Health Worker
3373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1508065699
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYDELL MAURICE HILL
Provider Business Mailing Address
First Line : 321 W LIME AVE APT C
Second Line :
City : MONROVIA
State : CA
Zip : 91016-6265
Country : US
Telephone Number : 626-343-6017
Fax Number :
Provider Business Practice Location Address
First Line : 2750 E WASHINGTON BLVD STE 230
Second Line :
City : PASADENA
State : CA
Zip : 91107-1449
Country : US
Telephone Number : 626-296-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 05/06/2025

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Directions to “ LYDELL MAURICE HILL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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