Graduated: 2015
NPI: 1497124325
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5131 ODONOVAN DR, SUITE 300
BATON ROUGE, LA 708084782
2257657778
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
Source: CMS National Downloadable File, September 2026.