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Lauren Wallace
NPI 1376336636 · on the registry since 2025 · sole proprietor
Practice
- Address
- 108 Grove St
Worcester, MA 01605 - Phone
- (508) 901-9930
- Organisation at this address
- Revidas Llc
Choices Inc
Worcester Family Pharmacy, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 63
Registry record
- Primary taxonomy
- Specialist
174400000X
- Sex
- Male
- Record last updated
- 2025-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts