Individual provider · Type 1 NPI
Clinton Lavurn Thomas Jr., MD
Specialist · Slidell, LA
NPI number
1093714859
Active
Practice location
405 Christian Ln
Slidell, LA 70458-1356
Fax (985) 645-9856
Mailing address
985 Robert Blvd
Slidell, LA 70458-2063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 06426R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1093714859
Clinton Lavurn Thomas Jr., MD's National Provider Identifier is 1093714859, issued on Jul 14, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Slidell, LA. The record was last updated on Jul 13, 2026.