Search › Wisconsin › 103TC0700X
John Lace, PHD
NPI 1528705050 · on the registry since 2022
Practice
- Address
- 1303 Main Street S
Holmen, WI 54636 - Phone
- (608) 785-0940
- Clinicians at this address
- 5
Additional practice sites
- 1026 A Ave Ne, Cedar Rapids, IA
- 1821 S Webster Ave, Green Bay, WI
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
103G00000X
103G00000X
103TH0100X
103T00000X - Licence states on file
- WI, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin