Provider Demographics
NPI:1346249729
Name:BOYD, CLAY NELSON (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAY
Middle Name:NELSON
Last Name:BOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1645 LUTCHER AVE
Mailing Address - Street 2:
Mailing Address - City:LUTCHER
Mailing Address - State:LA
Mailing Address - Zip Code:70071-5150
Mailing Address - Country:US
Mailing Address - Phone:225-258-2070
Mailing Address - Fax:225-258-2071
Practice Address - Street 1:1645 LUTCHER AVE
Practice Address - Street 2:
Practice Address - City:LUTCHER
Practice Address - State:LA
Practice Address - Zip Code:70071-5150
Practice Address - Country:US
Practice Address - Phone:225-258-2070
Practice Address - Fax:225-258-2071
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2017-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAL016578208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1348635Medicaid
LA1348635Medicaid
LAE83866Medicare UPIN