Graduated: 1988
NPI: 1306850003
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
2050 GAUSE BLVD E, SUITE 200
SLIDELL, LA 704615425
2256476636
Source: CMS National Downloadable File, September 2026.