Lakeland Joint School Disrict #272

Organization Active NPI Local Education Agency (LEA) · Rathdrum, ID

NPI 1063554673 · NPPES record last updated Jul 7, 2008

Key facts

NPI
1063554673
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
LAKELAND JOINT SCHOOL DISRICT #272
Practice address
1564 Washington Ave
Rathdrum, ID 83858
Phone
(208) 687-0431
Fax
(208) 687-1884
NPI assigned
Feb 12, 2007
Organization subpart
No

Authorized official

Name
Mr. Todd Kenneth Levesque
Title
Systems Manager
Phone
(208) 922-3093

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X ID Yes

Addresses

Primary practice location

1564 Washington Ave
Rathdrum, ID 83858

Mailing address

104 E Fairview Ave Ste 201
Meridian, ID 83642-1733
Phone (208) 922-3093

Other identifiers

IdentifierTypeStateIssuer
805182000MedicaidID

Other providers in Rathdrum, ID

All providers in Rathdrum, ID · Local Education Agency (LEA) in Idaho

Sources for this page

Verify at the official NPI Registry.