Provider Demographics
NPI:1669174447
Name:NEWTON, LYNOS
Entity type:Individual
Prefix:
First Name:LYNOS
Middle Name:
Last Name:NEWTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8885 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-8816
Mailing Address - Country:US
Mailing Address - Phone:318-470-8617
Mailing Address - Fax:
Practice Address - Street 1:7505 PINES RD STE 1180
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-3924
Practice Address - Country:US
Practice Address - Phone:318-519-6330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-17
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management