Individual
LAUREN D RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
781 SPRING ST STE 230, MACON, GA 31201-2195
(478) 633-1547
(478) 633-7929
Mailing address
781 SPRING ST STE 230, MACON, GA 31201-2195
(478) 633-1547
(478) 633-7929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12914
GA
Other
Enumeration date
09/09/2021
Last updated
07/28/2025
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