Healthcare Provider Details

I. General information

NPI: 1275924029
Provider Name (Legal Business Name): L HYMEL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2015
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10626 LINKWOOD CT SUITE A
BATON ROUGE LA
70810-2965
US

IV. Provider business mailing address

14539 COTTINGHAM CT
BATON ROUGE LA
70817-3544
US

V. Phone/Fax

Practice location:
  • Phone: 225-333-8282
  • Fax:
Mailing address:
  • Phone: 225-333-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1575
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number1559
License Number StateLA

VIII. Authorized Official

Name: DR. LAUREN HYMEL
Title or Position: OWNER, CHIROPRACTOR
Credential: D.C.
Phone: 225-333-8282