Individual
MR. CHRISTOPHER JOHN LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-2401
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00858
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905384
—
NC
Enumeration date
01/30/2006
Last updated
07/11/2022
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