Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2009
NPI: 1548427768
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2257658987
Source: CMS National Downloadable File, September 2026.