Provider Demographics
NPI:1114297504
Name:LONG BEACH PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:LONG BEACH PUBLIC SCHOOLS
Other - Org Name:LIDO ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:516-897-2149
Mailing Address - Street 1:237 LIDO BLVD
Mailing Address - Street 2:
Mailing Address - City:LIDO BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-5092
Mailing Address - Country:US
Mailing Address - Phone:516-897-2149
Mailing Address - Fax:516-771-3852
Practice Address - Street 1:237 LIDO BLVD
Practice Address - Street 2:
Practice Address - City:LIDO BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-5092
Practice Address - Country:US
Practice Address - Phone:516-897-2149
Practice Address - Fax:516-771-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-03
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318728261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service