Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Impact Physician Group, Louisiana LLC

Organization Internal Medicine Physician · NPI 1437775459

Impact Physician Group, Louisiana LLC is an Internal Medicine Physician in Lake Charles, Louisiana. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2720 Rue De Jardin Ste 100
Lake Charles, LA 70605-4050
Phone: (260) 407-8009
Fax: (260) 407-8009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1437775459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Credentialing Coordinator · (260) 407-8009
NPI enumeratedJune 25, 2020
Last updated in NPPESJune 25, 2020
Certification dateJune 25, 2020
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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