Healthcare Provider Details

I. General information

NPI: 1366141319
Provider Name (Legal Business Name): LAUREN ELIZABETH ZUCKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 MARKET ST
LYNN MA
01901-1536
US

IV. Provider business mailing address

191 BEACH RD UNIT D210
SALISBURY MA
01952-2325
US

V. Phone/Fax

Practice location:
  • Phone: 781-598-2454
  • Fax:
Mailing address:
  • Phone: 781-632-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2286288
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: