MEDICARE: ANGELA LAWAL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		OH
2	163W00000X	Registered Nurse	458256	OH

General Provider Information

NPI Number	:	1619843695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA LAWAL RN

Provider Business Mailing Address
First Line	:	545 COMMERCE AVE NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44485-2504
Country	:	US
Telephone Number	:	330-269-9487
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 COMMERCE AVE NW
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44485-2504
Country	:	US
Telephone Number	:	330-269-9487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	01/09/2026

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Directions to “ ANGELA LAWAL RN” Practice Location

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