MRS. BEVERLY SOUTHERLAND, P.A.

Physician Assistant

Active Individual
NPI: 1376529891

Practice Address

925 BEVINS CT
Lakeport, CA 95453

Phone: (707) 263-8322

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA14213 (CA)

Frequently Asked Questions

NPI 1376529891 is the National Provider Identifier for MRS. BEVERLY SOUTHERLAND, P.A., a Physician Assistant provider located in Lakeport, CA. This NPI was enumerated on December 16, 2005.
MRS. BEVERLY SOUTHERLAND, P.A. practices at 925 BEVINS CT, Lakeport, CA 95453.

Quick Facts

NPI
1376529891
Type
Individual
Enumerated
Dec 16, 2005
Last Updated
Sep 28, 2008

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