Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1841883022
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.