Provider Demographics
NPI:1033230750
Name:TOWN OF LEXINGTON
Entity Type:Organization
Organization Name:TOWN OF LEXINGTON
Other - Org Name:LEXINGTON PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST SUPERINTENDENT OF FIN & BUS
Authorized Official - Prefix:
Authorized Official - First Name:MARY ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-861-2563
Mailing Address - Street 1:1625 MASSACHUSETTS AVENUE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3801
Mailing Address - Country:US
Mailing Address - Phone:781-862-0500
Mailing Address - Fax:781-861-2921
Practice Address - Street 1:146 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-2504
Practice Address - Country:US
Practice Address - Phone:781-862-2580
Practice Address - Fax:781-863-5829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1950142Medicaid