| NPI | 1205287943 |
|---|---|
| Former Name | LANIK LYLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 019879-01) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00399700) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-04-15 |