Provider Demographics
NPI:1548355605
Name:HILL, LOIS J (RD)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:J
Last Name:HILL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 HARRODSBURG RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3706
Mailing Address - Country:US
Mailing Address - Phone:859-327-2810
Mailing Address - Fax:
Practice Address - Street 1:1600 HARRODSBURG ROAD
Practice Address - Street 2:SUITE 10
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3706
Practice Address - Country:US
Practice Address - Phone:859-536-0740
Practice Address - Fax:859-977-5100
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY0001133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0726402Medicare PIN
KYP62586Medicare UPIN