Organization
LAKE LOCAL SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF L. CARPENTER (TREASURER)
(419) 661-6673
Entity
Organization
Contact information
Practice address
28090 LEMOYNE RD, MILLBURY, OH 43447-9747
(419) 661-6673
(419) 661-6678
Mailing address
28090 LEMOYNE RD, MILLBURY, OH 43447-9747
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
050690
OH
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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