Healthcare Provider Details

I. General information

NPI: 1306784004
Provider Name (Legal Business Name): LILUN ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 WELLESLEY ST
WESTON MA
02493-1571
US

IV. Provider business mailing address

235 WELLESLEY ST
WESTON MA
02493-1571
US

V. Phone/Fax

Practice location:
  • Phone: 617-870-4976
  • Fax:
Mailing address:
  • Phone: 617-870-4976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2296872
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: