Provider Demographics
NPI:1114345261
Name:LAKE WORTH INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LAKE WORTH INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-306-4200
Mailing Address - Street 1:6805 TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76135-2855
Mailing Address - Country:US
Mailing Address - Phone:817-306-4200
Mailing Address - Fax:817-237-3271
Practice Address - Street 1:6805 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-2855
Practice Address - Country:US
Practice Address - Phone:817-306-4200
Practice Address - Fax:817-237-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)