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 1700013935

Lady Grace Stores, Inc is a Prosthetic/Orthotic Supplier in South Portland, Maine. 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

343 Gorham Rd
South Portland, ME 04106-2317
Phone: (207) 774-8139
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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 number1700013935
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 address343 Gorham Rd, South Portland, ME 04106-2317

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