Graduated: 2025
NPI: 1053292672
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
8200 CONSTANTIN BLVD
BATON ROUGE, LA 708093481
Source: CMS National Downloadable File, September 2026.