Graduated: 2022
NPI: 1811625502
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 1000
BATON ROUGE, LA 708084370
2257673900
BATON ROUGE GENERAL PHYSICIANS INC
8595 PICARDY AVE, SUITE 202
BATON ROUGE, LA 708093674
2259645514
Source: CMS National Downloadable File, September 2026.