Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN P LACEY JR.
ActiveJOHN P LACEY JR. is a Urology healthcare provider located in WEST BEND, Wisconsin. NPI 1578645305 is currently active in the NPPES registry. Verify at CMS.
Urology · WEST BEND, WI
Registration Details
- NPI Number
- 1578645305
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2006 (19.840949669288 yrs)
- Last Updated
- Sep 5, 2013
- License
-
31345 (WI)
Practice Information
- Address
-
3200 PLEASANT VALLEY RDWEST BEND CLINIC-UROLOGYWEST BEND, WI, 530959274Browse WI providers · Browse ZIP 53095
- Phone
- 2628367300
- Fax
- 2628367300
- Primary Specialty
-
Urology
208800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.