Individual
ANGELA JULIA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME HEALTH CARE
Contact information
Practice address
8032 MECHANICSVILLE TPKE, 8032 MECHANICSVILLE TURNPIKE, MECHANICSVILLE, VA 23111-1223
(804) 559-0322
(804) 559-0344
Mailing address
8032 MECHANICSVILLE TPKE, 8 032MECHANICSVILLE TURNPIKE, MECHANICSVILLE, VA 23111-1223
(804) 559-0322
(804) 559-0344
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HCO17726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093042723
—
VA
Enumeration date
11/14/2016
Last updated
11/14/2016
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