Individual
DR. CLINTON LAVURN THOMAS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 CHRISTIAN LN, SLIDELL, LA 70458-1356
(985) 643-6579
(985) 645-9856
Mailing address
985 ROBERT BLVD, SLIDELL, LA 70458-2063
(985) 641-8643
(985) 645-9856
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06426R
LA
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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