LORI FONTAINE SHANNON-AMELY

LOS ANGELES, CA
NPI1720329014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA  439829)
Enumeration Date2013-03-12
Last Update Date2020-12-29
Business Address
LORI FONTAINE SHANNON-AMELY NP
757 WESTWOOD PLZ
LOS ANGELES, CA 90095-7404
Phone number: 310-267-6817
Mailing Address
LORI FONTAINE SHANNON-AMELY NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8807