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LILA DIVINE, PA
PA
Physician Assistant
NPI: 1043883093IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
60085(CA)0010-14463(NC)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2019
Contact & Hours
Via practice · 2 locations total
- Address
- 10905 PROVIDENCE RD W STE 270
CHARLOTTE, NC 28277 - Phone
- (704) 316-3410
Quick Facts
- NPI
- 1043883093
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 7
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