Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lady Grace Stores, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1265669477

Lady Grace Stores, Inc is a Prosthetic/Orthotic Supplier in Waltham, Massachusetts. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 River St
Waltham, MA 02453-8306
Phone: (781) 894-2081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1265669477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Green — Treasurer · (781) 322-1721
NPI enumeratedJune 15, 2009
Last updated in NPPESJune 15, 2009
Mailing address108 River St, Waltham, MA 02453-8306

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