Organization
IMPERIAL HEALTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI LYN DUGAS (CREDENTIALING COORDINATOR)
(337) 312-8528
Entity
Organization
Contact information
Practice address
1322 ELTON RD STE P, JENNINGS, LA 70546-4100
(337) 436-3813
(337) 439-0214
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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