Graduated: 2017
NPI: 1568968196
Practice Locations (3)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5000 HENNESSY BLVD
BATON ROUGE, LA 708084375
2259537800
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1125 W HWY 30
GONZALES, LA 707375004
2256212975
Source: CMS National Downloadable File, September 2026.