# IMPERIAL HEALTH LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780334490
- **Authorized official:** NIKKI LYN DUGAS (CREDENTIALING MANAGER)
- **Authorized official phone:** (337) 312-8528

## Contact information

- **Practice address:** 641 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5726
- **Practice address phone:** (337) 312-6010
- **Practice address fax:** (337) 312-6011
- **Mailing address:** 501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
- **Mailing address phone:** (337) 312-8528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2022
- **Last updated:** 03/25/2022