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NPI Code Detail

MEDICARE: LILLY L ROGERS

MEDICARE: LILLY L ROGERS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1720939721
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILLY L ROGERS
Provider Business Mailing Address
First Line : 35 E WAYNE ST
Second Line :
City : REDKEY
State : IN
Zip : 47373-0017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2620 ACCUTECH WAY
Second Line :
City : MUNCIE
State : IN
Zip : 47304-9462
Country : US
Telephone Number : 765-282-8222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ LILLY L ROGERS ” Practice Location

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