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

Lauren Wallace

Individual provider Specialist · NPI 1376336636

Lauren Wallace is a Specialist in Worcester, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

108 Grove St
Worcester, MA 01605-2651
Phone: (508) 901-9930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1376336636
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address108 Grove St, Worcester, MA 01605-2651

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