| Lynette W Gore, MSCCC-SLP | |
|
3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | |
| (336) 713-7400 | |
| Not Available |
| Full Name | Lynette W Gore |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3325 Silas Creek Pkwy, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932337789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 10602 (North Carolina) | Primary |
| Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynette W Gore, MSCCC-SLP 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 713-7400 | Lynette W Gore, MSCCC-SLP 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 713-7400 |
Liza Brincefield Phillips, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454 | |
Mallory Golden, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454 | |
Janet Eaddy, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3505 Dunnbarton Dr, Winston Salem, NC 27107 Phone: 336-788-6088 Fax: 336-788-0953 | |
Jayme Stuart, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Salemtowne Dr, Winston Salem, NC 27106 Phone: 336-776-2300 | |
Ms. Jennifer Geib, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 | |
Mrs. J'mia Kae Wade, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2282 Providence Pt Ln Apt 203, Winston Salem, NC 27106 Phone: 336-817-9982 | |
Susan Michelle Brown, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 185 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-725-0222 Fax: 336-725-0454 |