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IMPACT PHYSICIAN GROUP LOUISIANA LLC NPI 1437775459


NPI Information

NPI: 1437775459
Provider Name: IMPACT PHYSICIAN GROUP, LOUISIANA LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2720 RUE DE JARDIN STE 100
LAKE CHARLES, LA
ZIP 70605
Phone: (260) 407-8009
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IMPACT PHYSICIAN GROUP, LOUISIANA LLC is an internal medicine in Lake Charles, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. IMPACT PHYSICIAN GROUP, LOUISIANA LLC NPI is 1437775459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2720 RUE DE JARDIN STE 100
LAKE CHARLES, LA
ZIP 70605-050
Phone: (260) 407-8009
Fax: (260) 407-8009

The provider's authorized official is Paul Miller .
The authorized official title is Credentialing Coordinator and has the following contact phone number (260) 407-8009.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 6/25/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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