Provider Demographics
NPI:1831927540
Name:ALFARAJ, LOLWAH MESHARI
Entity type:Individual
Prefix:
First Name:LOLWAH
Middle Name:MESHARI
Last Name:ALFARAJ
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 1:665 WASHINGTON STREET, THE KENSINGTON, UNIT 2108, 02111
Mailing Address - Street 2:LULWA.ALFARAJ@GMAIL.COM
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111
Mailing Address - Country:US
Mailing Address - Phone:617-763-9915
Mailing Address - Fax:
Practice Address - Street 1:35 KNEELAND STREET 4TH FLOOR BOSTON MA 02111
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-763-9915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2025-07-24
Deactivation Date:2025-05-13
Deactivation Code:
Reactivation Date:2025-07-24
Provider Licenses
StateLicense IDTaxonomies
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program