ELIZA LUNDSTROM HALLSTROM LMT
NPI 1962865550
Specialist in Worcester, MA

Active since March 31, 2016
102 SHORE DR, SUITE 104, WORCESTER, MA 01605(508) 853-7500(508) 853-7505 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eliza Lundstrom Hallstrom Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZA LUNDSTROM HALLSTROM LMT (NPI 1962865550) is an individual specialist in Worcester, Massachusetts, licensed in Massachusetts (13305) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1962865550
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameELIZA LUNDSTROM HALLSTROMCredential: LMT
Location Address102 SHORE DR, SUITE 104Worcester, MA 01605-3154
Mailing Address102 Shore Dr, Suite 104Worcester, MA 01605-3154 · (508) 853-7500 · Fax (508) 853-7505
Fax(508) 853-7505
Sole ProprietorNo
Enumeration DateMarch 31, 2016
NPI 1962865550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MA · 13305
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
102 SHORE DR, Worcester, MA 01605

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
102 SHORE DR, SUITE 302
WORCESTER, MA 01605
Physical Therapist
102 SHORE DR
WORCESTER, MA 01605
Family Medicine
102 SHORE DR, STE 303
WORCESTER, MA 01605
Clinic/Center (Sleep Disorder Diagnostic)
102 SHORE DR, SUITE 200
WORCESTER, MA 01605
Specialist
102 SHORE DR, SUITE 104
WORCESTER, MA 01605
Dentist (Pediatric Dentistry)
102 SHORE DR, SUITE 302
WORCESTER, MA 01605
Massage Therapist
102 SHORE DR, SUITE 104
WORCESTER, MA 01605
Massage Therapist
102 SHORE DR, SUITE 104
WORCESTER, MA 01605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eliza Lundstrom Hallstrom's NPI number?

The NPI number for Eliza Lundstrom Hallstrom is 1962865550. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Eliza Lundstrom Hallstrom located?

Eliza Lundstrom Hallstrom practices at 102 Shore Dr Suite 104, Worcester, MA 01605. The listed phone number is (508) 853-7500.

What is Eliza Lundstrom Hallstrom's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Eliza Lundstrom Hallstrom was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.