Individual ProviderLori L AndersonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10100 Bridgeport Way SW, Lakewood, WA 98499-2302(253) 861-0850PECOS EnrollmentBased on the most recent information from CMS, provider Lori L Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1336213909Provider TypeIndividualFull NameAnderson, Lori LTitleMs.CredentialLMPGenderFemaleSole ProprietorYesEnumeration Date11/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address10100 Bridgeport Way SW, Lakewood, WA 98499-2302Phone(253) 861-0850Fax(253) 983-9747Mailing LocationMailing Address11628 Olalla Valley Rd SE, Olalla, WA 98359-0023Phone(253) 861-0850FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseMA00010877Washington