LODIE NYCOL KYZAR (NPI# 1780947440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780947440 |
| Entity Type | Individual |
| Full Name | LODIE NYCOL KYZAR |
| Credential | P.T. |
| Practice Address |
536 Half Moon Ln Bossier City LA 71111-5576 |
| Practice Telephone | 3186232014 |
| Mailing Telephone | 3186232014 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
07803 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
536 HALF MOON LN |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-5576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578186649 | Abby Elizabeth Lewis | Physical Therapist | 4750 Lake St, Lake Charles, LA 70605-6008 | 2020-05-25 |
| 1730641325 | Mary Beran Heuchert | Physical Therapist | 6147 Shakespeare Dr, Baton Rouge, LA 70817-2920 | 2019-04-02 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1427561141 | Mark - Meaningful Autistic Resources for Kids | Physical Therapist | 41172 New Orleans Dr, Sorrento, LA 70778-3424 | 2017-11-16 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1376063701 | Katie Meyers Stone | Physical Therapist | 1034 Arabella St, New Orleans, LA 70115-3139 | 2017-06-27 |
| 1083034177 | Andrew Stout | Physical Therapist | 706 Sundale Dr, Lake Charles, LA 70607-7032 | 2014-04-16 |
| 1417374661 | Yingna Li | Physical Therapist | 2327 Whitney Dr, Monroe, LA 71201-2954 | 2014-03-26 |
| 1699022897 | Childrens Rehab Therapy | Physical Therapist | 69315 Prevost Rd, Mandeville, LA 70471-7703 | 2012-08-07 |
| 1790031425 | Dominique Player | Physical Therapist | 129 Panther Run, Destrehan, LA 70047-3133 | 2012-07-31 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on LODIE NYCOL KYZAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.