Graduated: 2019
NPI: 1053973750
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2259537800
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
Source: CMS National Downloadable File, September 2026.