Provider Demographics
NPI:1265493837
Name:LAWTON INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LAWTON INDEPENDENT SCHOOL DISTRICT
Other - Org Name:LAWTON PUBLIC SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:DISTRICT FINANCIAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MELAINE
Authorized Official - Last Name:BRANSTETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-357-6900
Mailing Address - Street 1:753 NW FORT SILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-5421
Mailing Address - Country:US
Mailing Address - Phone:580-357-6900
Mailing Address - Fax:580-585-6405
Practice Address - Street 1:753 NW FORT SILL BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-5421
Practice Address - Country:US
Practice Address - Phone:580-357-6900
Practice Address - Fax:580-585-6405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK100677790A251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100687790AMedicaid