Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1993
Offers telehealth
NPI: 1316946023
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
17579 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 707693930
2256736370
Source: CMS National Downloadable File, September 2026.