Provider Demographics
NPI:1275687196
Name:LAUREN B RIVET
Entity Type:Organization
Organization Name:LAUREN B RIVET
Other - Org Name:RIVET HAND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-654-4330
Mailing Address - Street 1:5568 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:ZACHARY
Mailing Address - State:LA
Mailing Address - Zip Code:70791-4088
Mailing Address - Country:US
Mailing Address - Phone:225-654-4330
Mailing Address - Fax:225-286-4330
Practice Address - Street 1:5568 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:ZACHARY
Practice Address - State:LA
Practice Address - Zip Code:70791-4088
Practice Address - Country:US
Practice Address - Phone:225-654-4330
Practice Address - Fax:225-286-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6194530001Medicare NSC
LA5C651Medicare PIN