Individual
MR. LYMAN ALLAN MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NBC-HWC
Contact information
Practice address
21074 FIRETOWER RD, LORANGER, LA 70446-3654
(985) 474-9582
Mailing address
21074 FIRETOWER RD, LORANGER, LA 70446-3654
(985) 474-9582
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3632074
LA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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