Lara K. Divins
Physician Assistant · Tionesta, PA
UnclaimedNPI 1174881775
- Primary taxonomy
- 363A00000X
- Enumerated
- 2012-05-02
- Practice location
- Tionesta, PA
- Last NPPES update
- 2021-05-31
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.