Individual
ELOISE FOURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-6047
(859) 257-3873
Mailing address
252 SOMERSLY PL, LEXINGTON, KY 40515-5718
(859) 421-5970
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
05021
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
08/28/2023
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