Graduated: 2020
NPI: 1740806207
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
17609 OLD JEFFERSON HWY
PRAIRIEVILLE, LA 707693980
Source: CMS National Downloadable File, September 2026.