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Contact Information

JOHN W LACE, PHD
1303 MAIN STREET S
HOLMEN, WI54636-8927
 Phone: 608-785-0940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOHN W LACE · (Male)

NPI Number 1528705050
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/17/2022
Last updated 12/23/2025 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • IA License # 110965
  • IA License # 126559
  • WI License # 5000-57
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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