Individual
DANIEL GABRIEL LARRIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-3980
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101232255
VA
2084N0400X
Neurology Physician
Primary
MD.204773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010026059
—
VA
05
—
09078595
—
MS
05
—
2159712
—
LA
Enumeration date
11/07/2006
Last updated
11/03/2011
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