MEDICARE: MS. LOIS J HILL R.D.

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
1	133VN1005X	Renal Nutrition Registered Dietitian	KY0001	KY

General Provider Information

NPI Number	:	1548355605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LOIS J HILL R.D.

Provider Business Mailing Address
First Line	:	1600 HARRODSBURG RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3706
Country	:	US
Telephone Number	:	859-327-2810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 HARRODSBURG ROAD
Second Line	:	SUITE 10
City	:	LEXINGTON
State	:	KY
Zip	:	40504-3706
Country	:	US
Telephone Number	:	859-536-0740
Fax Number	:	859-977-5100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/03/2020

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