Individual ProviderLynae LongshoreBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 South Bragaw, Anchorage, AK 99508(907) 433-7320PECOS EnrollmentBased on the most recent information from CMS, provider Lynae Longshore 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 12:57 PM.Profile DetailsProvider ID1770138232Provider TypeIndividualFull NameLongshore, LynaeGenderFemaleSole ProprietorNoEnumeration Date8/1/2019Last Updated8/1/2019Contact InformationPractice LocationPractice Address1650 South Bragaw, Anchorage, AK 99508Phone(907) 433-7320FaxUnlisted FaxMailing LocationMailing Address1650 South Bragaw, Anchorage, AK 99508Phone(907) 433-7320FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer