Basic Information
| Provider Information | |||||||||
| NPI: | 1881954279 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEWLON | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2511 M AVE STE B | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982213897 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602994211 | ||||||||
| FaxNumber: | 3602994213 | ||||||||
| Practice Location | |||||||||
| Address1: | 2511 M AVE STE B | ||||||||
| Address2: | |||||||||
| City: | ANACORTES | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3602994211 | ||||||||
| FaxNumber: | 3602994213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2012 | ||||||||
| LastUpdateDate: | 05/17/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD60559447 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 2020969 | 05 | WA | MEDICAID |