Organization
DYSART UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COLLEAN LUFKIN (ACCOUNTANT MEDCAID COORDINATOR)
(623) 876-7114
Entity
Organization
Contact information
Practice address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374
(623) 876-7114
Mailing address
15802 N PARKVIEW PLACE, SURPRISE, AZ 85374
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542060
—
AZ
05
—
567969
—
AZ
Enumeration date
05/10/2007
Last updated
08/22/2020
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