Healthcare Provider Details

I. General information

NPI: 1356214852
Provider Name (Legal Business Name): JULIA RAE LENHART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 09/29/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21-23 STANHOPE STREET
BOSTON MA
02116
US

IV. Provider business mailing address

21-23 STANHOPE STREET
BOSTON MA
02116
US

V. Phone/Fax

Practice location:
  • Phone: 617-375-7969
  • Fax:
Mailing address:
  • Phone: 617-375-7969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1002863
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: