Provider Demographics
NPI:1134892631
Name:LOMAX, ZAKIYA JANAE
Entity type:Individual
Prefix:
First Name:ZAKIYA
Middle Name:JANAE
Last Name:LOMAX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 DELL AVE
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2904
Mailing Address - Country:US
Mailing Address - Phone:617-999-6723
Mailing Address - Fax:
Practice Address - Street 1:12 DELL AVE
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2904
Practice Address - Country:US
Practice Address - Phone:617-999-6723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
HPP596895-02OtherHARVARD PILGRIM HEALTH CARE