Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2002
NPI: 1093923583
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 708084366
2257695656
Source: CMS National Downloadable File, September 2026.