LOLA B SUTHERLAND MD NPI 1417924994

NPI Information

NPI: 1417924994
Provider Name: LOLA B SUTHERLAND, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
16830 198TH AVE NW
BIG LAKE CLINIC
BIG LAKE, MN
ZIP 55309
Phone: (763) 263-7300
Get Directions

Lola B Sutherland, MD is a family medicine in Big Lake, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Lola B Sutherland, MD NPI is 1417924994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16830 198TH AVE NW
BIG LAKE CLINIC
BIG LAKE, MN
ZIP 55309
Phone: (763) 263-7300

The enumeration date for this NPI number is 3/3/2006 and was last updated on 12/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		26313	MINNESOTA	No
2	207Q00000X	Family Medicine		MN26313	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D75515	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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