Graduated: 2007
NPI: 1194904193
Practice Locations (3)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5439 AIRLINE HWY
BATON ROUGE, LA 708051712
2253584853
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
PRIMARY CARE PROVIDERS FOR A HEALTHY FELICIANA, INC
11990 JACKSON ST
CLINTON, LA 707223210
2256835292
Source: CMS National Downloadable File, September 2026.