Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | RN412520 | OH |
NPI | 1902413677 |
---|---|
Provider Name | Stacey Whitesel |
First Address | Lorain, OH 44053-2380 |
Second Address | Lorain, OH 44053-2380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2020 |
Last Update Date | 28/09/2020 |