| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1811305709 | CHIBA | TAKUYO | 55 LAKE AVE N | WORCESTER | MA | 016550002 | ||
| 1831175678 | COURTNEY | JAMES | MARTIN | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1295313823 | DACOSTA | PETER | JOSHUA | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1295723310 | HUBER | JULIANNE | PATRICIA | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1912392895 | MONNIER-SEROV | SOPHIE | M. | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1689733057 | MORRISSETTE | KIMBERLY | A | 55 LAKE AVE N | WORCESTER | MA | 016550002 |