Individual ProviderLori Shannon RobertsonCase Manager/Care CoordinatorOther Service ProvidersPractice Address5865 Tyrone Rd Ste 102, Reno, NV 89502-6266(775) 800-1136PECOS EnrollmentBased on the most recent information from CMS, provider Lori Shannon Robertson 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 34 days ago.Profile DetailsProvider ID1366749657Provider TypeIndividualFull NameRobertson, Lori ShannonGenderFemaleSole ProprietorYesEnumeration Date2/22/2011Last Updated9/23/2022Contact InformationPractice LocationPractice Address5865 Tyrone Rd Ste 102, Reno, NV 89502-6266Phone(775) 800-1136Fax(775) 800-1382Mailing LocationMailing Address5865 Tyrone Rd Ste 102, Reno, NV 89502-6266Phone(775) 800-1136Fax(775) 800-1382Provider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer