Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2005
NPI: 1437341252
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 7000
BATON ROUGE, LA 708080307
2255260006
Source: CMS National Downloadable File, September 2026.