Graduated: 2009
NPI: 1861627093
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
5439 AIRLINE HWY
BATON ROUGE, LA 708051712
2253584853
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
Source: CMS National Downloadable File, September 2026.