Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1987
Also: PEDIATRIC MEDICINE
NPI: 1164410569
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
8200 CONSTANTIN BLVD, FL 1
BATON ROUGE, LA 708093481
2257655500
Source: CMS National Downloadable File, September 2026.