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Organization

LAKE COUNTRY CLASSICAL ACADEMY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC WOZNIAK PHD (BUSINESS MANAGER)
(414) 617-9606
Entity
Organization

Contact information

Practice address
818 W WISCONSIN AVE, OCONOMOWOC, WI 53066-2623
(262) 269-0279
Mailing address
818 W WISCONSIN AVE, OCONOMOWOC, WI 53066-2623
(262) 269-0279

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
08/19/2021
Last updated
08/19/2021
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