Provider Demographics
NPI:1205917655
Name:RAKOS, LYNN B (APRN)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:B
Last Name:RAKOS
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI
Mailing Address - Street 2:1635 CENTRAL AVENUE ROOM 213
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610
Mailing Address - Country:US
Mailing Address - Phone:203-551-7660
Mailing Address - Fax:203-551-7481
Practice Address - Street 1:SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI
Practice Address - Street 2:1635 CENTRAL AVENUE
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610
Practice Address - Country:US
Practice Address - Phone:203-551-7660
Practice Address - Fax:203-551-7481
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT002388364S00000X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult