Lady Grace Stores, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LADY GRACE STORES, INC.

Practice address

236 N Broadway
Salem, NH 03079-2131

Phone

(603) 898-0522

NPI assigned

Jun 16, 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": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1891922076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792131",
            "telephone_number": "603-898-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N BROADWAY",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792131",
            "telephone_number": "603-898-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADY GRACE STORES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "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": []
}

• Jessica Ciola Kuchar, OTR/L
• Amy Kuzenka
• Kristin Kwan, CCC-SLP
• Joseph Lacko, DPT
• Joseph Lacourse, FNP-C
• Amy Lafko
• Samantha R Laflamme, RN
• Courtney Elaine Lamphere, PA-C
• Jennifer Laura Lanchoney, MS CCC-SLP
• Julia Lange

• Prosthetic/Orthotic Supplier in Salem, NH
• Providers in Salem, NH by specialty
• Prosthetic/Orthotic Supplier in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.