Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARA KATHLEEN DIVINS
Active Sole ProprietorLARA KATHLEEN DIVINS is a Physician Assistant healthcare provider located in TIONESTA, Pennsylvania. NPI 1174881775 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TIONESTA, PA
Registration Details
- NPI Number
- 1174881775
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2012 (14.322360522316 yrs)
- Last Updated
- May 31, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 BRIDGE STTIONESTA, PA, 163539737Browse PA providers · Browse ZIP 16353
- Phone
- 8147553631
- Fax
- 8147553633
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.