Graduated: 2001
NPI: 1295992030
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084300
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
Source: CMS National Downloadable File, September 2026.