Graduated: 1974
NPI: 1508893801
Practice Locations (3)
1105 KALISTE SALOOM RD
LAFAYETTE, LA 705085705
3375211000
4630 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 705086951
3372332535
4801 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 705086917
3374702000
Source: CMS National Downloadable File, September 2026.