Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1990
NPI: 1578563474
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
4950 ESSEN LN, SUITE 400
BATON ROUGE, LA 708093738
2257651765
Source: CMS National Downloadable File, September 2026.