Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 243759 | MA |
Y | 2080P0205X | Pediatric Endocrinologist | 243759 | MA |
NPI | 1396915054 |
---|---|
Provider Name | Mrs. Belinda S Lennerz |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2008 |
Last Update Date | 15/09/2015 |