Individual
DR. THOMAS E LAVIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7015 HWY 190 E SERV RD, SUITE 200, COVINGTON, LA 70433-4960
(985) 234-3000
(985) 234-3002
Mailing address
PO BOX 129, MADISONVILLE, LA 70447-0129
(985) 234-3000
(985) 234-3002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08487R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1655112
—
LA
Enumeration date
03/24/2006
Last updated
07/08/2007
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