Provider Demographics
NPI:1306272554
Name:LARRIVIERE, J HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:J
Middle Name:HUGH
Last Name:LARRIVIERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WHITCOMB CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3648
Mailing Address - Country:US
Mailing Address - Phone:337-984-7826
Mailing Address - Fax:
Practice Address - Street 1:2600 JOHNSTON ST
Practice Address - Street 2:STE 200
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3269
Practice Address - Country:US
Practice Address - Phone:337-232-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9103207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery