Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1986
NPI: 1326049545
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 206
BATON ROUGE, LA 708084363
2257671156
Source: CMS National Downloadable File, September 2026.