Graduated: 1999
Offers telehealth
NPI: 1063489003
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
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 707375020
Source: CMS National Downloadable File, September 2026.