Active NPI
Lace Mack Ronald
- Acupuncturist
- Medford, MA
National Provider Identifier
1740163393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 0 Governors Ave Ste 2
Medford, MA 02155-3037 - Phone
- (617) 902-8769
- NPI assigned
- Jul 30, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
0 Governors Ave Ste 2
Medford, MA 02155-3037
Mailing address
0 Governors Ave Ste 2
Medford, MA 02155-3037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waterlily Wellness, LLC | Current | Accepting new patients |
Locations
0 Governors Ave
Ste 2
Medford, MA 02155
Phone (617) 902-8769
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1740163393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0 GOVERNORS AVE STE 2",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "0 GOVERNORS AVE STE 2",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021553037",
"telephone_number": "617-902-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONALD",
"first_name": "LACE",
"middle_name": "MACK",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.