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Individual

LORI FONTAINE SHANNON-AMELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-7404
(310) 267-6817
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8807
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
439829
CA

Other

Enumeration date
03/12/2013
Last updated
12/29/2020
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