Provider Demographics
NPI:1245384676
Name:LYME CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LYME CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OS SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNALEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:DODSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-649-2417
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:CHAUMONT
Mailing Address - State:NY
Mailing Address - Zip Code:13622-0219
Mailing Address - Country:US
Mailing Address - Phone:315-649-2417
Mailing Address - Fax:315-648-2812
Practice Address - Street 1:11868 ACADEMY STREET
Practice Address - Street 2:
Practice Address - City:CHAUMONT
Practice Address - State:NY
Practice Address - Zip Code:13622-0219
Practice Address - Country:US
Practice Address - Phone:315-649-2417
Practice Address - Fax:315-649-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)