Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1995
NPI: 1427187111
Practice Locations (2)
LASALLE PARISH HOSPITAL SERVICE DIST NO1
1102 N PINE RD
OLLA, LA 714654804
3184953131
1102 N PINE RD, HARTNER MEDICAL CENTER
URANIA, LA 71480
2406862300
Source: CMS National Downloadable File, September 2026.