Individual
EUGENE WALTER LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9667
Mailing address
PO BOX 1734, GRANTHAM, NH 03753-1734
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3942
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009637
—
VT
05
—
82373804
—
NH
Enumeration date
10/05/2006
Last updated
07/08/2007
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