Thomas Nicotri JR.
Dermatopathologist
229 W Causeway Approach
Mandeville
, Louisiana 70448
Thomas Nicotri JR.
Dermatopathologist
229 W Causeway Approach
Mandeville
, Louisiana 70448
(318) 841-9526
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About
Features
Specialties
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Thomas Nicotri JR.
- Po Box 3780
- Tupelo, MS
- Zip : 38803-3780
- Phone : (318) 841-9526
Second Address
- Thomas Nicotri JR.
- 229 W Causeway Approach
- Mandeville, LA
- Zip : 70448
- Phone : (504) 722-7684
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0900X | Dermatopathologist | MD.023801 | LA |
National Provider Identifier
| NPI | 1316960370 |
|---|---|
| Provider Name | Thomas Nicotri JR. |
| First Address | Tupelo, MS 38803-3780 |
| Second Address | Mandeville, LA 70448 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 20/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1485268 | (05) | LA |
| H58850 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.