Provider Demographics
NPI:1568276871
Name:IHRKE, LILLY GRACE
Entity type:Individual
Prefix:
First Name:LILLY
Middle Name:GRACE
Last Name:IHRKE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-1829
Mailing Address - Country:US
Mailing Address - Phone:218-431-1151
Mailing Address - Fax:
Practice Address - Street 1:5801 HIDCOTE DR STE 300
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5569
Practice Address - Country:US
Practice Address - Phone:402-665-4687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide