Individual
LOLA B SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16830 198TH AVE NW, BIG LAKE CLINIC, BIG LAKE, MN 55309
(763) 263-7300
Mailing address
1200 SIXTH AVE NO, CENTRA CARE CLINIC, SAINT CLOUD, MN 56303
(763) 263-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26313
MN
207Q00000X
Family Medicine Physician
Primary
MN26313
MN
Other
Enumeration date
03/03/2006
Last updated
12/05/2007
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