Individual
DR. SANDRA WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
303 E MAIN ST, LOWELL, IN 46356-1711
(219) 696-7191
(219) 696-8551
Mailing address
303 E MAIN ST, LOWELL, IN 46356-1711
(219) 696-7191
(219) 696-8551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002411B
IN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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