Lady Grace Stores, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY GRACE STORES, INC.

Practice address

343 Gorham Rd
South Portland, ME 04106-2317

Phone

(207) 774-8139

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Bruce I Green

Title

Treasurer

Phone

(781) 322-1721

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dasco HME, LLC

  • Oxygen Equipment & Supplies (DME)
  • Lima, OH
  • NPI 1275504946

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1700013935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 GORHAM RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062317",
            "telephone_number": "207-774-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 GORHAM RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062317",
            "telephone_number": "207-774-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "781-322-1721"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Labotz, MD
• Allyson Nicole Lachance
• Brittany Elyce Lachance, DO
• Lee Todd Lacks, LCPC-C, MT-BC
• Krystle Nicole Ladd, PMHNP
• Jack James Lafreniere, PT, DPT
• Dale T Lalone, M.S. CCC-A
• Lamey Wellehan Inc
• Stacy Lamore, RN
• Todd D. Lamoreau, PT

• Prosthetic/Orthotic Supplier in South Portland, ME
• Providers in South Portland, ME by specialty
• Prosthetic/Orthotic Supplier in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.