Lake Erie Preparatory School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LAKE ERIE PREPARATORY SCHOOL

Practice address

14405 Saint Clair Ave
Cleveland, OH 44110-3433

Phone

(330) 515-0572

Fax

(330) 409-0270

NPI assigned

Sep 19, 2013

Last updated

Sep 26, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. C. David Massa, CPA

Title

Chief Financial Officer

Phone

(330) 515-0572

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1407282684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E MAPLE ST",
            "address_2": "SUITE #202",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202586",
            "telephone_number": "330-515-0572",
            "fax_number": "330-409-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 SAINT CLAIR AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103433",
            "telephone_number": "330-515-0572",
            "fax_number": "330-409-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE ERIE PREPARATORY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MASSA",
        "authorized_official_first_name": "C. DAVID",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-515-0572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Laisure, CNP
• Ammar Mustansir Lakda, MBBS
• Lake County Foot & Ankle Associates, LLC
• Lake Effect Health
• Lake Erie Medical Group, Inc.
• Lake Erie Seniors, Inc.
• Lake Point Medical Group, LLC
• Marisa Rachel Imbroane Lake, MD
• Tonjania Monae Lake, LPN
• Ammaar Abdullah Lakes

• Local Education Agency (LEA) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.