Provider Demographics
NPI:1467420869
Name:LARIVEE, GEORGE WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WILLIAM
Last Name:LARIVEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3850 LAKE WORTH RD
Mailing Address - Street 2:ST 2
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4000
Mailing Address - Country:US
Mailing Address - Phone:561-966-1775
Mailing Address - Fax:561-966-3934
Practice Address - Street 1:3850 LAKE WORTH RD
Practice Address - Street 2:ST 2
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-4000
Practice Address - Country:US
Practice Address - Phone:561-966-1775
Practice Address - Fax:561-966-3934
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor