Graduated: 2014
NPI: 1821404203
Practice Locations (4)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1401 N FOSTER DR
BATON ROUGE, LA 708061818
2253584853
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1401 N FOSTER DR, LSU MID CITY DIABETIC FOOT AND WOUND CLINIC
BATON ROUGE, LA 708061818
2259879013
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7301 HENNESSY BLVD, SUITE 103
BATON ROUGE, LA 708084794
2257654286
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
Source: CMS National Downloadable File, September 2026.