Shannon M Lawrence | Los Angeles, CA • PECOS Search

Shannon M Lawrence

Acupuncturist

Other Service Providers

2001 S. Barrington Avenue, Suite 219, Los Angeles, CA 90025

PECOS Enrollment

Based on the most recent information from CMS, provider Shannon M Lawrence does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1912425117
Provider Type
Individual
Full Name
Lawrence, Shannon M
Title
Ms.
Credential
L.AC, MATCM

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/7/2017
Last Updated
2/22/2018

Contact Information

Practice Location

2001 S. Barrington Avenue, Suite 219, Los Angeles, CA 90025

Unlisted Fax

Mailing Location

14010 Captains Row, Apt. 147, Marina Del Rey, CA 90292

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171100000X Primary	Description Acupuncturist Other Service Providers	License AC17743 California
Code 171100000X	Description Acupuncturist Other Service Providers	License 17743 California