Provider Demographics
NPI:1003157967
Name:LAKEWOOD BOARD OF EDUCATION
Entity Type:Organization
Organization Name:LAKEWOOD BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR, OSS
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOBIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-364-2400
Mailing Address - Street 1:1771 MADISON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1251
Mailing Address - Country:US
Mailing Address - Phone:732-364-2400
Mailing Address - Fax:732-806-4521
Practice Address - Street 1:1771 MADISON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1251
Practice Address - Country:US
Practice Address - Phone:732-364-2400
Practice Address - Fax:732-806-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)