Luvae Southerland, PA

NPI #1619182383 in Wendell, North Carolina

Provider Information

NPI Number: 1619182383
Entity Type: Individual
Name: Luvae Southerland, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 14, 2007
Last Updated: Feb 1, 2017

Practice Location

Address: 4111 WENDELL BLVD
City: Wendell
State: North Carolina
ZIP Code: 27591-6831
Phone: (919) 250-1106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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