# LOU ANN NEWBY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598715369
- **Authorized official:** MS. LOU ANN NEWBY (REGISTERED NURSE)
- **Authorized official phone:** (608) 635-4923

## Contact information

- **Practice address:** W10020 OLSON RD, POYNETTE, WI 53955-9441
- **Practice address phone:** (608) 635-4923
- **Mailing address:** W10020 OLSON RD, POYNETTE, WI 53955-9441
- **Mailing address phone:** (608) 635-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | WI | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020