Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1989
NPI: 1023031952
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 103
BATON ROUGE, LA 708084363
2252152255
Source: CMS National Downloadable File, September 2026.