Organization
LAKELAND JOINT SCHOOL DISRICT #272
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD KENNETH LEVESQUE (SYSTEMS MANAGER)
(208) 922-3093
Entity
Organization
Contact information
Practice address
1564 WASHINGTON AVE, RATHDRUM, ID 83858
(208) 687-0431
(208) 687-1884
Mailing address
104 E FAIRVIEW AVE STE 201, MERIDIAN, ID 83642-1733
(208) 922-3093
(208) 922-9351
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805182000
—
ID
Enumeration date
02/12/2007
Last updated
07/07/2008
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