Graduated: 2008
NPI: 1417124736
Practice Locations (3)
106 HIGHLAND PARK PLAZA
COVINGTON, LA 704337116
106 HIGHLAND PARK PLZ
COVINGTON, LA 704337116
106 HIGHLAND PARK PLZ, B2
COVINGTON, LA 704337116
9858985990
Source: CMS National Downloadable File, September 2026.