Provider Demographics
NPI:1881654895
Name:NEWTON, BARON B JR (MD)
Entity type:Individual
Prefix:DR
First Name:BARON
Middle Name:B
Last Name:NEWTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1920 W SALE RD
Mailing Address - Street 2:STE 7
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-2400
Mailing Address - Country:US
Mailing Address - Phone:337-436-5233
Mailing Address - Fax:337-436-5234
Practice Address - Street 1:1920 W SALE RD
Practice Address - Street 2:STE 7
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-2400
Practice Address - Country:US
Practice Address - Phone:337-436-5233
Practice Address - Fax:337-436-5234
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2012-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA06323R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA06323ROtherMEDICAL LICENSE
LA1343781Medicaid
LA010017247OtherRAILROAD MEDICARE
LA1700509OtherUNITED HEALTHCARE
LA1816901OtherFIRST HEALTH
LA190201OtherHUMANA
LAB60460Medicare UPIN
LA06323ROtherMEDICAL LICENSE