Individual provider · Type 1 NPI

Eliza Lundstrom Hallstrom, LMT

Specialist · Worcester, MA

NPI number 1962865550 Active

Practice location

102 Shore Dr, Suite 104
Worcester, MA 01605-3154

Call (508) 853-7500 Map

Fax (508) 853-7505

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X13305 (MA)

Specialist: 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.

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About NPI 1962865550

Eliza Lundstrom Hallstrom, LMT's National Provider Identifier is 1962865550, issued on Mar 31, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Worcester, MA. The record was last updated on Mar 31, 2016.