Female

Lola B. Sutherland MD

Family Medicine Physician in Big Lake, MN(View on Map)

Full Name

Lola B Sutherland MD

NPI Number

1417924994

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/03/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota
Minnesota

License Number

MN26313
26313

Contact
Information

Purpose

Mailing
Location

Address

1200 SIXTH AVE NO
16830 198TH AVE NW

City

Saint Cloud
Big Lake

State

MN
MN

Postal Code

56303
55309

Country

US
US

Telephone Number

(763) 263-7300
(763) 263-7300

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/05/2007

Provider Address

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