Basic Information
Provider Information
NPI: 1659964633
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIEGER
FirstName: HILLARY
MiddleName: TESS
NamePrefix: MS.
NameSuffix:  
Credential: MA, MS, LCGC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 740 SOUTH LIMESTONE ST
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405360001
CountryCode: US
TelephoneNumber: 8595622505
FaxNumber: 8592571888
Practice Location
Address1: 740 S LIMESTONE
Address2: STE K201
City: LEXINGTON
State: KY
PostalCode: 40536
CountryCode: US
TelephoneNumber: 8592182509
FaxNumber: 8593233499
Other Information
ProviderEnumerationDate: 02/19/2021
LastUpdateDate: 04/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000XGC271KYY Other Service ProvidersGenetic Counselor, MS 

No ID Information.


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