Individual provider · Type 1 NPI

Lara Beth Kokenos, PA

Surgical Physician Assistant · Fairfield, CT

NPI number 1659523561 Active

Practice location

425 Post Rd Fl 2
Fairfield, CT 06824-6232

Call (203) 254-1576 Map

Mailing address

455 Hope St Apt 3G
Stamford, CT 06906-1330

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002163 (CT)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1659523561

Lara Beth Kokenos, PA's National Provider Identifier is 1659523561, issued on Oct 22, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fairfield, CT. The record was last updated on Mar 7, 2023.