Graduated: 2017
NPI: 1548751142
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
4353 HWY 1 S
PORT ALLEN, LA 707675826
2257492645
Source: CMS National Downloadable File, September 2026.