Lynne Carol Goudlock, LPN is a
Licensed Practical Nurse based in Gaston, South Carolina. Lynne Carol Goudlock is licensed to practice in South Carolina (license number PR32978) and her current practice location is
265 Peeler Rd, Gaston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 955-3320.
NPI number for Lynne Carol Goudlock is 1760494223 and her current mailing address is 265 Peeler Rd, Gaston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760494223.
Provider's Profile
Full Name | Lynne Carol Goudlock |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 265 Peeler Rd, Gaston, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760494223
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Lynne Carol Goudlock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760494223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PR32978 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lynne Carol Goudlock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lynne Carol Goudlock, LPN 265 Peeler Rd, Gaston, SC 29053-8730 Ph: (803) 955-3320 | Lynne Carol Goudlock, LPN 265 Peeler Rd, Gaston, SC 29053-8730 Ph: (803) 955-3320 |
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