Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2006
NPI: 1023239134
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1014 SAINT CLAIR BLVD, SUITE 2010
GONZALES, LA 707375023
2257655500
Source: CMS National Downloadable File, September 2026.