Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1770457905
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 409
BATON ROUGE, LA 708084365
2257655864
Source: CMS National Downloadable File, September 2026.