Provider Demographics
NPI:1700766565
Name:GARCIA KOSKO, LINA VANESSA
Entity type:Individual
Prefix:
First Name:LINA
Middle Name:VANESSA
Last Name:GARCIA KOSKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 DEXTER AVE
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02472-4230
Mailing Address - Country:US
Mailing Address - Phone:774-312-5158
Mailing Address - Fax:
Practice Address - Street 1:92 DEXTER AVE
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-4230
Practice Address - Country:US
Practice Address - Phone:774-312-5158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter