Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1265968911
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
4950 ESSEN LANE, 402 FACIAL PLASTIC AND RECONSTRUCTIVE SURGE
BATON ROUGE, LA 70809
2257657982
Source: CMS National Downloadable File, September 2026.