Graduated: 2013
NPI: 1265873939
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
310 DUREL DR
NEW ROADS, LA 707602973
2257132400
Source: CMS National Downloadable File, September 2026.