Dale Souleyrette, OD

NPI #1205991791 in Elizabethtown, Kentucky

Provider Information

NPI Number: 1205991791
Entity Type: Individual
Name: Dale Souleyrette, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 26, 2006
Last Updated: Mar 5, 2019

Practice Location

Address: 1709 N DIXIE AVE STE 101
City: Elizabethtown
State: Kentucky
ZIP Code: 42701-9496
Phone: (270) 765-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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