Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LILA T DIVINE, PA
Active Sole ProprietorMS. LILA T DIVINE, PA is a Physician Assistant healthcare provider located in CHARLOTTE, North Carolina. NPI 1043883093 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHARLOTTE, NC
Registration Details
- NPI Number
- 1043883093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2021 (5.0598283996542 yrs)
- Last Updated
- Jul 31, 2025
- Licenses
-
60085 (CA)0010-14463 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10905 PROVIDENCE RD W STE 270CHARLOTTE, NC, 282771538Browse NC providers · Browse ZIP 28277
- Phone
- 7043163410
- Fax
- 7043163420
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER MARIE HULL | PA-C | 1437154093 |
| MS. JENNIFER ANN FARRES | PA-C | 1598763054 |
| LAWRENCE HENRY BRACCIA | PA-C | 1700885514 |
| MR. JONATHAN ROBERT BALTZELL | PA-C | 1457350258 |
| KEVIN ROLANDO WILLIAMS | PA | 1053312082 |
| MRS. KELLY L. STAFFORD | PA-C | 1184626806 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.