MEDICARE: DR. ANGELA I LAWTON

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	207Q00000X	Family Medicine Physician	MD00030083	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	G8942856	OTHER	WA	MEDICARE W VALLEY MEDICAL GROUP - RENTON

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750449088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA I LAWTON

Provider Business Mailing Address
First Line	:	3600 LIND AVE SW
Second Line	:	SUITE 100 ATTN CREDENTIALING
City	:	RENTON
State	:	WA
Zip	:	98057-4970
Country	:	US
Telephone Number	:	425-690-2715
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 NE 4TH ST STE 105
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98056-4100
Country	:	US
Telephone Number	:	425-690-3410
Fax Number	:	425-690-9410

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

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	03/16/2020

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Directions to “ DR. ANGELA I LAWTON ” Practice Location

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