Healthcare Provider Details

I. General information

NPI: 1780028340
Provider Name (Legal Business Name): LAUREN ELISABETH ZENNER STEELE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ELISABETH ZENNER

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 EVERETT AVE FL 3
CHELSEA MA
02150-1812
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2696
US

V. Phone/Fax

Practice location:
  • Phone: 617-889-8520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA132448
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number1019466
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: