Graduated: 2017
NPI: 1497269666
Practice Locations (2)
LOUISIANA STAT CARE LLC
11055 SHOE CREEK DR
BATON ROUGE, LA 708184022
22526144931
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5439 AIRLINE HWY
BATON ROUGE, LA 708051712
2253582313
Source: CMS National Downloadable File, September 2026.