Individual
STACY R NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.204781
LA
207R00000X
Internal Medicine Physician
Primary
MD213598
OR
207RI0200X
Infectious Disease Physician
MD.204781
LA
207RI0200X
Infectious Disease Physician
MD213598
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106917
—
LA
05
—
500820030
—
OR
Enumeration date
06/13/2008
Last updated
07/07/2023
Update your record
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