Organization
ROCKWELL CITY LYTTON SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LEE ERICSSON REGISTERED NURSE (SCHOOL NURSE REGISTERED NURSE)
(712) 297-7341
Entity
Organization
Contact information
Practice address
1000 TONAWANDA AVE, ROCKWELL CITY LYTTON HIGH SCHOOL, ROCKWELL CITY, IA 50579
(712) 297-7341
(712) 297-7320
Mailing address
1000 TONAWANDA AVE, ROCKWELL CITY, IA 50579
(712) 297-7341
(712) 297-7320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
097435
IA
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649323429
—
IA
Enumeration date
01/18/2007
Last updated
09/19/2012
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