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LADY GRACE STORES INC. NPI 1265666812


NPI Information

NPI: 1265666812
Provider Name: LADY GRACE STORES, INC.
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1364 BEACON STREET
BROOKLINE, MA
ZIP 02446
Phone: (617) 566-8194
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LADY GRACE STORES, INC. is a prosthetic orthotic supplier in Brookline, MA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. LADY GRACE STORES, INC. NPI is 1265666812. The provider is registered as an organization entity type.

The provider's business location address is:

1364 BEACON STREET
BROOKLINE, MA
ZIP 02446
Phone: (617) 566-8194

The provider's authorized official is Bruce Ira Green .
The authorized official title is Treasurer and has the following contact phone number (781) 322-1721.

The enumeration date for this NPI number is 5/12/2009 and was last updated on 5/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1335E00000XProsthetic/Orthotic SupplierMASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10664640011MEDICARE NSCMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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