Organization
MEDICAL LAKE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARDEE J KING (COMPLIANCE MONITOR)
(509) 565-3408
Entity
Organization
Contact information
Practice address
524 SOUTH HILLETT, MEDICAL LAKE, WA 99022
(509) 565-3408
Mailing address
524 SOUTH HILLETT, PO BOX 128, MEDICAL LAKE, WA 99022
(509) 565-3408
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7441652
—
WA
Enumeration date
07/10/2006
Last updated
08/22/2020
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