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Lady Grace Stores, Inc. — NPI 1265669477, Waltham, MA | NPI Central

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Lady Grace Stores, Inc.

NPI 1265669477 · Prosthetic/Orthotic Supplier · Waltham, MA

Provider details

NPI number: 1265669477
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Bruce Green, Treasurer

Practice location

108 River St

Waltham, MA 02453-8306

Phone: (781) 894-2081

More MA providers

Mailing address

108 River St

Waltham, MA 02453-8306

Registry dates

Enumerated: 2009-06-15
Last updated: 2009-06-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.