Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1996
Offers telehealth
NPI: 1396735270
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
17609 OLD JEFFERSON HWY, SUITE C
PRAIRIEVILLE, LA 707693980
2256478511
Source: CMS National Downloadable File, September 2026.