Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1991
Also: HOSPITALIST
NPI: 1972645786
Practice Locations (1)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
1810 LINDBERG DR, SUITE 1100
SLIDELL, LA 704588158
9856460945
Source: CMS National Downloadable File, September 2026.