Healthcare Provider Details

I. General information

NPI: 1750207502
Provider Name (Legal Business Name): LAEL MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 DUDLEY ST
ROXBURY MA
02119-2602
US

IV. Provider business mailing address

283 DUDLEY ST
ROXBURY MA
02119-2602
US

V. Phone/Fax

Practice location:
  • Phone: 617-820-7302
  • Fax: 617-820-7302
Mailing address:
  • Phone: 617-820-7302
  • Fax: 617-820-7302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: