Organization
IMPERIAL HEALTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI LYN DUGAS (CREDENTIALING MANAGER)
(337) 312-8528
Entity
Organization
Contact information
Practice address
501 SHIRLEY ST, DERIDDER, LA 70634-3859
(337) 202-7850
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8528
(337) 312-6708
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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