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Individual

MRS. DIANA K. CLAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1150 ROBERT BLVD STE 220, SLIDELL, LA 70458-2006
(985) 781-4848
Mailing address
1150 ROBERT BLVD STE 220, SLIDELL, LA 70458-2006
(985) 781-4848

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020824
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02550870
MS
01
160045156
RAILROAD MEDICARE
05
1980935
LA
Enumeration date
11/03/2005
Last updated
03/20/2026
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