Graduated: 2018
NPI: 1932687449
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD
BATON ROUGE, LA 708084363
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
8369 FLORIDA BLVD, SUITE 8
DENHAM SPRINGS, LA 707267862
2257655500
Source: CMS National Downloadable File, September 2026.