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Active NPI 1962865550 Individual Practitioner Female Practitioner

Eliza Lundstrom Hallstrom , LMT

Specialist • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Eliza Lundstrom Hallstrom, LMT is a registered healthcare professional specializing in Specialist in Worcester, MA. Practice services are available at 102 SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

102 Shore Dr
Suite 104

Worcester, MA 016053154

Telephone 5088537500
Fax 5088537505
Associated Practice Facility / Clinic
🏢 Brandon L. Cairo, Dmd, Pc Facility NPI 1568615557

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.8 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
42 Specialists

Practicing in Worcester, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 13305

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1114475787

Licensed Massage Therapist

Courtney Denis

Massage Therapist

NPI 1205491792
Alison Burney

Massage Therapist

NPI 1235479189
Alexandra Buzzeo

Acupuncturist

NPI 1255744850
Rachael Hughes

Massage Therapist

NPI 1316287279
Brianna Marion , LMT

Massage Therapist

NPI 1417598467

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2016

Registered at 102 SHORE DR, SUITE 104, WORCESTER, MA 016053154 (Tel: 5088537500)

📍
Updated Business Mailing Address March 31, 2016

Registered at 102 SHORE DR, SUITE 104, WORCESTER, MA 016053154 (Tel: 5088537500)

👤
Provider Name / Credentials Updated March 31, 2016

Recorded as ELIZA LUNDSTROM HALLSTROM, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Specialist (License #13305 in MA)

🟢
Initial NPI Registration & Enumeration March 31, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962865550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2016
Last Update: March 31, 2016
Sole Proprietor: No

Mailing Address

102 Shore Dr, Suite 104

Worcester, MA 016053154

Phone: 5088537500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.