Graduated: 2001
NPI: 1942458823
Practice Locations (2)
NORTHLAKE NEPHROLOGY, INC
1970 N HWY 190, NORTHLAKE NEPHROLOGY INSTITUTE
COVINGTON, LA 704335158
9858678585
NORTHLAKE NEPHROLOGY, INC
664 ROBERT BLVD
SLIDELL, LA 704581648
9856460360
Source: CMS National Downloadable File, September 2026.