Individual
DR. WILLIAM DONNER MIZELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
225 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 269-0505
(337) 232-2347
Mailing address
225 N COLLEGE RD, LAFAYETTE, LA 70506-4230
(337) 269-0505
(337) 232-2347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
917017T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1362131
—
LA
Enumeration date
02/03/2006
Last updated
07/08/2007
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