Lyman Allan Mizell, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-3632074 Issued in LA

Practice address

21074 Firetower Rd
Loranger, LA 70446-3654

Phone

(985) 474-9582

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1447984497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21074 FIRETOWER RD",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463654",
            "telephone_number": "985-474-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21074 FIRETOWER RD",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704463654",
            "telephone_number": "985-474-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "LYMAN",
        "middle_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "LA",
            "license": "A-3632074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Loranger, LA
• Providers in Loranger, LA by specialty
• Health & Wellness Coach in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.