Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1063684314
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 302
BATON ROUGE, LA 708084365
2253584853
Source: CMS National Downloadable File, September 2026.