Rivera, Lauren

Rivera, Lauren is an individual health care provider with primary practice located at 210 Rinehart Rd , Lake Mary FL 32746-2514. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Rivera, Lauren can be contacted via phone (321) 843-2100.

Contact Information

Primary practice address
210 Rinehart Rd Lake Mary FL 32746-2514
Phone: (321) 843-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109016 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA109016 Florida

Profile Details

NPI number 1861863078
LBN Legal business name Rivera, Lauren
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2015
Last updated Dec 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861863078 NPPES
Florida MEDICAID 111348600

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