Provider Demographics
NPI:1013376094
Name:NEWTON, LAVONNE L
Entity Type:Individual
Prefix:MRS
First Name:LAVONNE
Middle Name:L
Last Name:NEWTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2889 COUNTY RD MN
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:WI
Mailing Address - Zip Code:53589-2704
Mailing Address - Country:US
Mailing Address - Phone:608-838-8589
Mailing Address - Fax:608-838-2295
Practice Address - Street 1:2889 COUNTY RD MN
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-2704
Practice Address - Country:US
Practice Address - Phone:608-838-8589
Practice Address - Fax:608-838-2295
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)