Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1973
NPI: 1013051036
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1810 LINDBERG DR, SUITE 1100
SLIDELL, LA 704588158
9856460945
Source: CMS National Downloadable File, September 2026.