Graduated: 2003
NPI: 1740737220
Practice Locations (3)
LASALLE PARISH HOSPITAL SERVICE DIST NO1
1049 N PINE RD
OLLA, LA 714654826
3184953131
LASALLE PARISH HOSPITAL SERVICE DIST NO1
1102 N PINE RD
OLLA, LA 714654804
3184953131
LASALLE PARISH HOSPITAL SERVICE DIST NO1
1102 N PINE RD
OLLA, LA 714655478
Source: CMS National Downloadable File, September 2026.