Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2004
NPI: 1740446228
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.