Mizell Jr, Louis Lee
Mizell Jr, Louis Lee is an sole proprietor health care provider with primary practice located at 74 E Kimballs Ln Ste 330 , Draper UT 84020-5006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Mizell Jr, Louis Lee can be contacted via phone (801) 545-8363.Contact Information
Primary practice address
74 E Kimballs Ln Ste 330
Draper UT 84020-5006
Phone: (801) 545-8363
Fax: (801) 545-8133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 168364-1205 | Utah |
Other Service Providers / Specialist | 174400000X | 82-168364-1205 | Utah |
Profile Details
NPI number | 1851396964 |
---|---|
LBN Legal business name | Mizell Jr, Louis Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2005 |
Last updated | Mar 21st, 2019 - about 5 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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