Lady Grace Stores

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LADY GRACE STORES

Practice address

50 Concord St # 100
Wilmington, MA 01887-2196

Phone

(800) 892-4044

NPI assigned

Jul 9, 2025

Last updated

Jul 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachel Mazur

Title

Ceo

Phone

(614) 901-2109

Specialties & licenses 2

Addresses

Tax ID family

Lady Grace Corset Shop2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lady Grace Stores, Inc.

  • Prosthetic/Orthotic Supplier
  • Woburn, MA
  • NPI 1881759835
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752019200000",
    "number": "1043100159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WEST ST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430821400",
            "telephone_number": "614-901-2226",
            "fax_number": "614-901-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CONCORD ST # 100",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872196",
            "telephone_number": "800-892-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-901-2109"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina M. Donahue, Licsw, LLC
• Liliana M Kruschewsky
• Erica Kurtin, PT
• Margaret Kyakuwa
• Karyn Elizabeth Labrecque, M.S., L.M.H.C.
• Kristen Marie Lambert, RN BSN CPN
• Terese Frazier Landry, M.D.
• Ashly Lantigua
• Jennifer Lantigua
• Sheri Lanzarone, LMHC

• Durable Medical Equipment & Medical Supplies in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Durable Medical Equipment & Medical Supplies in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.