Individual
DR. ELAINE NICOLE DESARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2160 SIR BARTON WAY, SUITE 143, LEXINGTON, KY 40509-2228
(859) 543-0857
(859) 543-0737
Mailing address
112 S VINSON AVE, SUITE 143, LOUISA, KY 41230-1155
(606) 638-4731
(606) 393-6563
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1701DT
KY
Other
Enumeration date
07/12/2007
Last updated
02/22/2017
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