Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2006
Offers telehealth
NPI: 1790983807
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
2647 S SAINT ELIZABETH BLVD, SUITE 219
GONZALES, LA 707375020
2257655500
Source: CMS National Downloadable File, September 2026.