Lady Grace Stores, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY GRACE STORES, INC.

Practice address

238 W Cummings Park
Woburn, MA 01801-6346

Phone

(781) 322-1721

Fax

(781) 569-0729

NPI assigned

Dec 27, 2006

Last updated

Jul 2, 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

Mrs. Rachel Mazur

Title

Ceo

Phone

(614) 901-2109

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Lady Grace Lamode Corset2 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

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, MA
  • NPI 1043100159
  NPD tax ID

Member of 1

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

• Dasco HME, LLC

  dba Dasco HME

  • Oxygen Equipment & Supplies (DME)
  • Huber Heights, OH
  • NPI 1144466467

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1881759835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 W CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016346",
            "telephone_number": "781-322-1721",
            "fax_number": "781-321-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016346",
            "telephone_number": "781-322-1721",
            "fax_number": "781-569-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Nankinga Kulubya
• Christina E Kwack-Yuhan, M.D.
• Samantha Lee L'Esperance, M.S.
• Sebastien Labissiere
• Catherine Mary Lacouture, MS, OTR/L
• Christina Lafalaise
• Tanya Lai, LCSW
• Melissa Lake, PA
• Kirti Kaur Lamba
• Joanne Lamontagne, PT

• Prosthetic/Orthotic Supplier in Woburn, MA
• Providers in Woburn, MA by specialty
• Prosthetic/Orthotic Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.