Graduated: 2013
NPI: 1528476959
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1023 W HWY 30
GONZALES, LA 707375002
2257655500
Source: CMS National Downloadable File, September 2026.