Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1988
NPI: 1992092829
Practice Locations (1)
LSUHN BILLING LLC
2390 W CONGRESS ST
LAFAYETTE, LA 705064205
3372616000
Source: CMS National Downloadable File, September 2026.