Organization
LAKE BENTON ISD #404
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNITA BENNETT (ADMINISTRATIVE ASSISTANT)
(507) 368-4235
Entity
Organization
Contact information
Practice address
101 S GARFIELD ST, LAKE BENTON, MN 56149
(507) 368-4235
(507) 368-4477
Mailing address
PO BOX 158, LAKE BENTON, MN 56149-0158
(507) 368-4235
(507) 368-4477
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Enumeration date
10/31/2006
Last updated
05/07/2010
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