Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1976
NPI: 1962406843
Practice Locations (1)
INTEGRATED DERMATOLOGY OF PONCHATOULA LLC
180 N 5TH ST
PONCHATOULA, LA 704542532
9853707546
Source: CMS National Downloadable File, September 2026.