Provider Demographics
NPI:1750095816
Name:RIGGS, LAUREN NEVIN (PA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:NEVIN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 WAMPUS AVE
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1929
Mailing Address - Country:US
Mailing Address - Phone:914-588-4153
Mailing Address - Fax:
Practice Address - Street 1:24 WAMPUS AVE
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1929
Practice Address - Country:US
Practice Address - Phone:914-588-4153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant