Individual
LAUREN P RIVELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1500 COMMERCE RD, STAUNTON, VA 24401-9032
(540) 213-7720
(540) 213-9441
Mailing address
17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-7720
(540) 213-7729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001753
VA
Other
Enumeration date
09/29/2008
Last updated
07/08/2020
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