Individual
DR. ANGELA I LAWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 NE 4TH ST STE 105, RENTON, WA 98056-4100
(425) 690-3410
(425) 690-9410
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00030083
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018158
—
WA
01
—
G8942856
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
12/06/2006
Last updated
03/16/2020
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