NPI 1326391749

Imperial Health LLP

Organisation Dermatology Physician Lake Charles, LA

Practice location

Address: 4150 Nelson Rd Suite E 1, Lake Charles, LA 70605-4148
Phone: (337) 433-8400
Mailing address: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724

Authorised official

Name: Kris Hickingbottom
Title: Ceo
Phone: (337) 433-8400

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 015309 (LA)

Other Dermatology providers in Louisiana →

Registry record

NPI: 1326391749
Entity type: Organization
NPI issued: 23 Oct 2012
Record last updated: 15 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.