Individual
MS. YAYONE LUCIA RIVAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-4000
(706) 653-1230
Mailing address
PO BOX 678398, DALLAS, TX 75267-8398
(800) 475-6112
(706) 653-1230
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10914000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD467153
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103764835
—
PA
Enumeration date
04/10/2014
Last updated
09/07/2020
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