Provider Demographics
NPI:1356472179
Name:GREATER LAWRENCE TECHNICAL HIGH SCHOOL
Entity Type:Organization
Organization Name:GREATER LAWRENCE TECHNICAL HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MISS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELUCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-686-0194
Mailing Address - Street 1:57 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1144
Mailing Address - Country:US
Mailing Address - Phone:978-686-0194
Mailing Address - Fax:
Practice Address - Street 1:57 RIVER RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1144
Practice Address - Country:US
Practice Address - Phone:978-686-0194
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953605OtherGREATER LAWRENCE TECH H S