Provider Demographics
NPI:1841602034
Name:GILBERT, LYNELL CAIN (RN)
Entity Type:Individual
Prefix:MRS
First Name:LYNELL
Middle Name:CAIN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:LYNELL
Other - Last Name:GILBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:501 WESTMINSTER HWY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:SC
Mailing Address - Zip Code:29693-1515
Mailing Address - Country:US
Mailing Address - Phone:864-886-4525
Mailing Address - Fax:864-886-4524
Practice Address - Street 1:501 WESTMINSTER HWY
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:SC
Practice Address - Zip Code:29693-1515
Practice Address - Country:US
Practice Address - Phone:864-886-4525
Practice Address - Fax:864-886-4524
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRN.93719R163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool