Graduated: 2022
NPI: 1326676149
Practice Locations (2)
LAFAYETTE HEALTH VENTURES INC
1214 COOLIDGE BLVD
LAFAYETTE, LA 705032621
3372897991
ALLINA HEALTH SYSTEM
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
6512627633
Source: CMS National Downloadable File, September 2026.