Provider Demographics
NPI:1235378977
Name:LAKE LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LAKE LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MOFFAT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:330-877-4280
Mailing Address - Street 1:11936 KING CHURCH AVE NW
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8220
Mailing Address - Country:US
Mailing Address - Phone:330-877-9383
Mailing Address - Fax:330-877-4754
Practice Address - Street 1:11936 KING CHURCH AVE NW
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8220
Practice Address - Country:US
Practice Address - Phone:330-877-9383
Practice Address - Fax:330-877-4754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)