Lady Grace Stores, Inc.
NPI #1780811919 in Tyngsboro, Massachusetts
Provider Information
- NPI Number
- 1780811919
- Entity Type
- Organization
- Organization Name
- Lady Grace Stores, Inc.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 15, 2009
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 440 MIDDLESEX RD
- City
- Tyngsboro
- State
- Massachusetts
- ZIP Code
- 01879-1070
- Phone
- (978) 649-3942
Authorized Official
- Name
- BRUCE I GREEN
- Title
- TREASURER
- Phone
- (781) 322-1721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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