Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2020
NPI: 1336776533
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2257654050
Source: CMS National Downloadable File, September 2026.