Organization
LAKESIDE PUBLIC SCHOOLS
Active
Other names
Lakeside School District
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE DONALDSON (MITS SUPERVISOR)
(870) 367-6848
Entity
Organization
Contact information
Practice address
1110 SOUTH LAKESHORE DRIVE, LAKE VILLAGE, AR 71653
(870) 367-6848
(870) 367-9877
Mailing address
1022 SCOGIN DRIVE, MONTICELLO, AR 71655
(870) 367-6848
(870) 367-9877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0903
AR
251300000X
Local Education Agency (LEA)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116592743
—
AR
Enumeration date
06/05/2007
Last updated
07/15/2008
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