Lara Kathleen Divins
Lara Kathleen Divins is a Physician Assistant in Tionesta, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Titusville Area Hospital, a 78-clinician group, works from 4 locations and accepts Medicare assignment.
- Years since qualifying
- 9
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
111 Bridge StTionesta, PA 16353-9737
Phone: (814) 755-3631
Fax: (814) 755-3633
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 116 Central Ave, Oil City, PA 16301-2736 — (814) 676-0431
- 115 Main St, Tidioute, PA 16351-1062 — (814) 484-3096
- 809 N Monroe St, Titusville, PA 16354-1113 — (814) 758-7676
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1174881775 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2012 |
| Last updated in NPPES | May 31, 2021 |
| Certification date | May 31, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Titusville Area Hospital — 78 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |