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Individual
G LEWIS SUTHERLAND
Active
Individual
G LEWIS SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001175
—
KY
Enumeration date
09/12/2005
Last updated
03/25/2011
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