MEDICARE: DR. ANGELENE LAWRENCE MD

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	2084P0800X	Psychiatry Physician	11759	NV
2	2084P0800X	Psychiatry Physician	MD216339	OR
3	2084P0800X	Psychiatry Physician	A96723	CA
4	2084P0800X	Psychiatry Physician	P2025	TX
5	2084P0800X	Psychiatry Physician	319259	NY

General Provider Information

NPI Number	:	1821298118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELENE LAWRENCE MD

Provider Business Mailing Address
First Line	:	82 TABLE MOUNTAIN BLVD
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-3578
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 TABLE MOUNTAIN BLVD
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-3578
Country	:	US
Telephone Number	:	530-891-2810
Fax Number	:

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	12/18/2025

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