Healthcare Provider Details

I. General information

NPI: 1134892631
Provider Name (Legal Business Name): ZAKIYA JANAE LOMAX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 DELL AVE
HYDE PARK MA
02136-2904
US

IV. Provider business mailing address

300 E MAIN ST
MILFORD MA
01757-2806
US

V. Phone/Fax

Practice location:
  • Phone: 617-999-6723
  • Fax:
Mailing address:
  • Phone: 508-478-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: