MEDICARE: ERICA RHORER RDN, LD, IBCLC

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	171400000X	Health & Wellness Coach
2	133V00000X	Registered Dietitian	2319	KY
3	174N00000X	Lactation Consultant (Non-RN)
4	101Y00000X	Counselor
5	174H00000X	Health Educator
6	174400000X	Specialist

General Provider Information

NPI Number	:	1609267624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA RHORER RDN, LD, IBCLC

Provider Business Mailing Address
First Line	:	120 E REYNOLDS RD STE 3
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1251
Country	:	US
Telephone Number	:	859-287-2996
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E REYNOLDS RD STE 3
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40517-1251
Country	:	US
Telephone Number	:	859-287-2996
Fax Number	:

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

Provider Enumeration Date	:	02/12/2015
Last Update Date	:	06/08/2026

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