Organization
LIONSGATE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH MUNDY-EVANS (ADMINISTRATIVE ASSISTANT)
(763) 486-5359
Entity
Organization
Contact information
Practice address
3420 NEVADA AVE N, CRYSTAL, MN 55427-2187
(763) 486-5359
(763) 390-0012
Mailing address
3420 NEVADA AVE N, CRYSTAL, MN 55427-2187
(763) 486-5359
(763) 390-0012
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
09/24/2010
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