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Dr. John Walter Lace, MD,FCCP
Specialist in Grass Valley, California
NPI 1104840461

John Walter Lace is a Specialist based in Grass Valley, CA. John Walter Lace practices in Grass Valley, CA and has the professional credentials of MD,FCCP. The NPI Number for John Walter Lace is 1104840461 and holds a License No. G085476 (California).

The current practice location address for John Walter Lace is 140 Litton Dr Ste 120, Grass Valley, CA and can be reached out via phone at 530-477-7782 and via fax at 530-477-7792.

Location: 140 Litton Dr Ste 120, Grass Valley, CA, 95945-5080
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104840461
Provider Name
John Walter Lace
Credential
MD,FCCP
Provider Entity Type
Individual
Gender
Female
Address
140 Litton Dr Ste 120, Grass Valley, CA, 95945-5080
Phone Number
530-477-7782
Fax Number
530-477-7792
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G854760 05 CA
institution
Provider Business Practice Location Address Details
Address
140 Litton Dr Ste 120
City
Grass Valley
State
California
Zip
95945-5080
Phone Number
530-477-7782
Fax Number
530-477-7792
person
Provider Business Mailing Address Details
Address
140 Litton Dr Ste 120
City
Grass Valley
State
California
Zip
95945-5080
Phone Number
530-477-7782
Fax Number
530-477-7792
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G085476 (California)
Definition
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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