| Imperial Health Llp | |
|
771 Bayou Pines East Dr Lake Charles LA 70601-7183 | |
| (337) 433-8400 | |
| Not Available |
| Full Name | Imperial Health Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 771 Bayou Pines East Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Kris Hickingbottom (CEA) |
| Authorized Official Contact | 3374338400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Health Llp 501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 Ph: (337) 433-8400 | Imperial Health Llp 771 Bayou Pines East Dr Lake Charles LA 70601-7183 Ph: (337) 433-8400 |
| NPI Number | 1447508494 |
|---|---|
| Provider Enumeration Date | 08/23/2012 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447508494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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