Individual
DR. JOHN WALTER LACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.C.C.P.
Contact information
Practice address
140 LITTON DR STE 120, GRASS VALLEY, CA 95945-5080
(530) 477-7782
(530) 477-7792
Mailing address
140 LITTON DR STE 120, GRASS VALLEY, CA 95945-5080
(530) 477-7782
(530) 477-7792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G085476
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G085476
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G854760
—
CA
Enumeration date
07/27/2006
Last updated
05/05/2026
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