Lake City #813

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LAKE CITY #813

Practice address

300 S Garden St
Lake City, MN 55041-1664

Phone

(654) 345-4553

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Amy Adams

Title

Director of Special Education

Phone

(507) 767-3339

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720121411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550410454",
            "telephone_number": "651-345-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S GARDEN ST",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411664",
            "telephone_number": "654-345-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CITY #813",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "507-767-3339"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian David Kennedy, R.PH.
• Kelly Marie Kennedy
• Mark Thomas Kennedy
• Scott Alan Knudsen, DDS
• McKenzie Marie Koch, OTD, OTR/L
• Lake City Chiropractic, LTD.
• Lake City Dental P.L.L.C.
• Jody Leise, APRN, CNS
• Katherine Lillie Lofberg, FNP-C
• Ann Marie Lowe, M.D.

• Local Education Agency (LEA) in Lake City, MN
• Providers in Lake City, MN by specialty
• Local Education Agency (LEA) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.