Gobourne, Lanik L
Gobourne, Lanik L is an individual health care provider with primary practice located at 27005 76Th Ave , New Hyde Park NY 11040-1402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gobourne, Lanik L can be contacted via phone (718) 470-7000.Contact Information
Primary practice address
27005 76Th Ave
New Hyde Park NY 11040-1402
Phone: (718) 470-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00399700 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 019879-01 | New York |
Profile Details
| NPI number | 1205287943 |
|---|---|
| LBN Legal business name | Gobourne, Lanik L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2016 |
| Last updated | Apr 15th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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