Provider Demographics
NPI:1689566754
Name:LIGHTBOURN, YORVANIA A
Entity type:Individual
Prefix:
First Name:YORVANIA
Middle Name:A
Last Name:LIGHTBOURN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 WEST PL MANGONIA PARK FL 33407
Mailing Address - Street 2:
Mailing Address - City:MANGONIA PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:305-600-6292
Mailing Address - Fax:305-600-6292
Practice Address - Street 1:1224 U.S. HWY 1, SUITE H NORTH PALM BEACH, FL 33408
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-3340
Practice Address - Country:US
Practice Address - Phone:305-600-6292
Practice Address - Fax:305-600-6292
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide