Graduated: 2001
NPI: 1740491208
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
2524 S PHILIPPE AVE
GONZALES, LA 707373749
2256441990
Source: CMS National Downloadable File, September 2026.