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Lara Divins
NPI 1174881775 · on the registry since 2012 · sole proprietor
Practice
- Address
- 111 Bridge St
Tionesta, PA 16353 - Phone
- (814) 755-3631
- Fax
- (814) 755-3633
- Organisation at this address
- Titusville Area Hospital
Saint Vincent Medical Education And Research InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 809 N Monroe St, Titusville, PA
- 115 Main St, Tidioute, PA
- 116 Central Ave, Oil City, PA
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Athletic Trainer
- Sex
- Female
- Record last updated
- 2021-05-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania