person
Lara Beth Kokenos, PA
Surgical Physician Assistant in Fairfield, Connecticut
NPI 1659523561

Lara Beth Kokenos is a Surgical Physician Assistant based in Stamford, CT and is specialized in Surgical. Lara Beth Kokenos practices in Fairfield, CT and has the professional credentials of PA. The NPI Number for Lara Beth Kokenos is 1659523561 and holds a License No. 002163 (Connecticut).

The current practice location address for Lara Beth Kokenos is 425 Post Rd Fl 2, Fairfield, CT and can be reached out via phone at 203-254-1576. You can also correspond with Lara Beth Kokenos through the mailing address at 455 HOPE ST APT 3G, STAMFORD, CT - 06906-1330 (mailing address contact number: 203-257-1829).

Location: 425 Post Rd Fl 2, Fairfield, CT, 06906-1330
person
Provider Profile Details
NPI Number
1659523561
Provider Name
Lara Beth Kokenos
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
425 Post Rd Fl 2, Fairfield, CT, 06906-1330
Phone Number
203-254-1576
Fax Number
Provider Enumeration Date
10/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002163 01 CT PA LICENSE
institution
Provider Business Practice Location Address Details
Address
425 Post Rd Fl 2
City
State
Zip
06824-6232
Phone Number
203-254-1576
Fax Number
person
Provider Business Mailing Address Details
Address
425 Post Rd Fl 2
City
State
Zip
06824-6232
Phone Number
203-254-1576
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
002163 (Connecticut)
Definition
Definition to come...
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