Lola B Sutherland, MD is a
Family Medicine physician based in Big Lake, Minnesota. Lola B Sutherland is licensed to practice in Minnesota (license number MN26313) and her current practice location is 16830 198th Ave Nw, Big Lake Clinic, Big Lake, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 263-7300.
NPI number for Lola B Sutherland is 1417924994 and her current mailing address is 1200 Sixth Ave No, Centra Care Clinic, Saint Cloud, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417924994.
Physician's Profile
Full Name | Lola B Sutherland |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 16830 198th Ave Nw, Big Lake, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417924994
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 12/05/2007
Medical Identifiers
Medical identifiers for Lola B Sutherland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417924994 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MN26313 (Minnesota) | Primary |
207Q00000X | Family Medicine | 26313 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lola B Sutherland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lola B Sutherland, MD 1200 Sixth Ave No, Centra Care Clinic, Saint Cloud, MN 56303 Ph: (763) 263-7300 | Lola B Sutherland, MD 16830 198th Ave Nw, Big Lake Clinic, Big Lake, MN 55309 Ph: (763) 263-7300 |
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