Individual
DR. LUCY C SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 256-2000
(360) 666-0466
Mailing address
PO BOX 5157, VANCOUVER, WA 98668-5157
(360) 667-3056
(360) 666-0466
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
WA
207L00000X
Anesthesiology Physician
Primary
MD00041186
WA
Other
Enumeration date
10/06/2005
Last updated
04/01/2009
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