Individual
ANGELA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 N ORION BLVD, ORLANDO, FL 32816-8029
(407) 823-4955
Mailing address
2135 EOLA CT, OVIEDO, FL 32765-8028
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL2025
FL
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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