Healthcare Provider Details

I. General information

NPI: 1659964633
Provider Name (Legal Business Name): HILLARY TESS RIEGER MA, MS, LCGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 04/12/2021
Certification Date: 04/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE STE K201
LEXINGTON KY
40536
US

IV. Provider business mailing address

740 SOUTH LIMESTONE ST
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-2509
  • Fax: 859-323-3499
Mailing address:
  • Phone: 859-562-2505
  • Fax: 859-257-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License NumberGC271
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: