Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2003
Also: FAMILY PRACTICE
NPI: 1619915733
Practice Locations (1)
LSUHSC FAMILY PRACTICE CENTER @ LCMH
1525 OAK PARK BLVD
LAKE CHARLES, LA 706018849
3374946767
Source: CMS National Downloadable File, September 2026.