Organization
JOHN W. LACE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA M SPEAS (OFFICE MANAGER)
(530) 477-7782
Entity
Organization
Contact information
Practice address
140 LITTON DR, SUITE 120, GRASS VALLEY, CA 95945-5077
(530) 477-7782
(530) 477-7792
Mailing address
140 LITTON DR, SUITE 120, GRASS VALLEY, CA 95945-5077
(530) 477-7782
(530) 477-7792
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G854760
—
CA
01
—
F31815
UPIN
CA
Enumeration date
03/20/2008
Last updated
04/17/2008
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