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1720329014
LORI FONTAINE SHANNON-AMELY
LOS ANGELES, CA
NPI
1720329014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA 439829)
Enumeration Date
2013-03-12
Last Update Date
2020-12-29
Business Address
LORI FONTAINE SHANNON-AMELY NP
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-7404
Phone number: 310-267-6817
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Mailing Address
LORI FONTAINE SHANNON-AMELY NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8807
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