Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2020
NPI: 1710506217
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.