Lynna M Lesko, MD, PHD
Individual provider Active NPI Psychiatry Physician · South Kent, CT
NPI 1124383252 · NPPES record last updated Jul 4, 2012
Key facts
- NPI
- 1124383252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 042541 (CT)
- Practice address
- 104 Richards Rd
South Kent, CT 06785-1304 - Phone
- (860) 927-3370
- NPI assigned
- Jul 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41667 | CA | MD | Psychiatry Physician |
| 042541 | CT | MD | Psychiatry Physician |
| 152727 | NY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 042541 | CT | Yes |
| Psychiatry Physician | 2084P0800X | G41667 | CA | |
| Psychiatry Physician | 2084P0800X | 152727 | NY | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | 042541 | CT |
Addresses
Primary practice location
104 Richards Rd
South Kent, CT 06785-1304
Mailing address
104 Richards Rd
South Kent, CT 06785-1304
Phone (860) 927-3370
Other providers in South Kent, CT
- Cultivate Wellness LLC
- Brittany Nicole Hrabcsak
- Jenifer Kelly
- George Edward Matteo
- Colleen Ann O'Brien
- South Kent School
- Kevin A. Vining
All providers in South Kent, CT · Psychiatry Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.