| Lake Norman Communication Services, Inc. | |
| 484 Williamson Rd Ste 102, Mooresville, NC 28117-8191 | |
| (704) 293-6552 | |
| Not Available | 
| Full Name | Lake Norman Communication Services, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Physical Medicine & Rehabilitation | 
| Location | 484 Williamson Rd Ste 102, Mooresville, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1467908368 | NPI | - | NPPES | 
| 13882320 | Other | NC | CAQH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4057 (North Carolina) | Secondary | 
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary | 
| Provider Name | Pamela Susan Manser | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1124574140 PECOS PAC ID: 5991110330 Enrollment ID: I20210218000169 | 
| Provider Name | Kristen Phillips Bragg | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1538611140 PECOS PAC ID: 0042628612 Enrollment ID: I20210420001566 | 
| Provider Name | Linnette A Richards | 
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice | 
| Provider Identifiers | NPI Number: 1659420040 PECOS PAC ID: 9436567047 Enrollment ID: I20210421000126 | 
| Provider Name | Lauren Suzanne Aprile | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1063050342 PECOS PAC ID: 0244649028 Enrollment ID: I20210506002850 | 
| Provider Name | Aleksandra Agnieszka Jasienska | 
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist | 
| Provider Identifiers | NPI Number: 1437833126 PECOS PAC ID: 8426407024 Enrollment ID: I20231207002966 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lake Norman Communication Services, Inc. 484 Williamson Rd Ste 102, Mooresville, NC 28117-8191 Ph: (704) 793-8475 | Lake Norman Communication Services, Inc. 484 Williamson Rd Ste 102, Mooresville, NC 28117-8191 Ph: (704) 293-6552 |