LANIK L GOBOURNE

NEW HYDE PARK, NY
NPI1205287943
Former NameLANIK LYLES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  019879-01)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NJ  25MP00399700)
Enumeration Date2016-06-23
Last Update Date2022-04-15
Business Address
LANIK L GOBOURNE PA
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-7000
Mailing Address
LANIK L GOBOURNE PA
67 WASHINGTON AVE
WYANDANCH, NY 11798-2216
Phone number: 631-487-5801