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Organization
IMPERIAL HEALTH LLP
Active
Organization
IMPERIAL HEALTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA C RICHARD COO (CHIEF OPERATING OFFICER)
(337) 312-8291
Entity
Organization
Contact information
Practice address
2000 SOUTHWOOD DRIVE, LAKE CHARLES, LA 70605
(337) 474-2856
(337) 480-0645
Mailing address
501 DR. MICHAEL DE BAKEY DRIVE, LAKE CHARLES, LA 70601-5724
(337) 312-8420
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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