Provider Demographics
NPI:1164565149
Name:LANSING CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LANSING CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-533-3020
Mailing Address - Street 1:284 RIDGE ROAD,
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NY
Mailing Address - Zip Code:14882
Mailing Address - Country:US
Mailing Address - Phone:607-533-3020
Mailing Address - Fax:607-533-3602
Practice Address - Street 1:284 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NY
Practice Address - Zip Code:14882
Practice Address - Country:US
Practice Address - Phone:607-533-3020
Practice Address - Fax:607-533-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01394485Medicaid