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Search › California › Physician Assistant

Beverly Southerland, P.A

NPI 1376529891 · on the registry since 2005

Practice

Address
925 Bevins Ct
Lakeport, CA 95453
Phone
(707) 263-8322
Fax
(707) 263-0329
Organisation at this address
Lake County Tribal Health Consortium Inc.
Lake County Tribal Health Consortium, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-09-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California