Organization
LADY GRACE STORES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL MAZUR (CEO)
(614) 901-2109
Entity
Organization
Contact information
Practice address
238 W CUMMINGS PARK, WOBURN, MA 01801-6346
(781) 322-1721
(781) 569-0729
Mailing address
238 W CUMMINGS PARK, WOBURN, MA 01801-6346
(781) 322-1721
(781) 321-8476
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
MA
Other
Enumeration date
12/27/2006
Last updated
07/02/2025
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