Graduated: 2009
NPI: 1588990535
Practice Locations (3)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
CVT SURGICAL CENTER, AMC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084368
2257660416
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1014 SAINT CLAIR BLVD, SUITE 3015
GONZALES, LA 707375030
2257432455
Source: CMS National Downloadable File, September 2026.