Whitestar Professional Corporation

NPI #1639390974 in Lorain, Ohio

Provider Information

NPI Number: 1639390974
Entity Type: Organization
Organization Name: Whitestar Professional Corporation
Primary Specialty: Ophthalmology
Enumeration Date: May 2, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 3600 KOLBE RD
Address 2: SUITE 230
City: Lorain
State: Ohio
ZIP Code: 44053-1654
Phone: (440) 892-3931

Authorized Official

Name: DARRELL WHITE, MD
Title: OWNER
Phone: (440) 892-3931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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