Provider Demographics
NPI:1285830919
Name:NEWELL, LYNNELLE KIMBERLY (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNNELLE
Middle Name:KIMBERLY
Last Name:NEWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LYNNELLE
Other - Middle Name:KIMBERLY
Other - Last Name:SMITH NEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3027
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98807-3027
Mailing Address - Country:US
Mailing Address - Phone:509-662-7143
Mailing Address - Fax:509-665-4301
Practice Address - Street 1:933 RED APPLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3370
Practice Address - Country:US
Practice Address - Phone:509-662-7143
Practice Address - Fax:509-665-4301
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107655207W00000X
WAMD60377683207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology