MRS. Beverly A Southerland, P.A.
NPI #1376529891 in Lakeport, California
Provider Information
- NPI Number
- 1376529891
- Entity Type
- Individual
- Name
- MRS. Beverly A Southerland, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Dec 16, 2005
- Last Updated
- Sep 28, 2008
Practice Location
- Address
- 925 BEVINS CT
- City
- Lakeport
- State
- California
- ZIP Code
- 95453-9754
- Phone
- (707) 263-8322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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