Provider Demographics
NPI:1417026154
Name:COUNTY OF LESUEUR
Entity Type:Organization
Organization Name:COUNTY OF LESUEUR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:507-364-8100
Mailing Address - Street 1:101 2ND ST NE
Mailing Address - Street 2:PO BOX 29
Mailing Address - City:MONTGOMERY
Mailing Address - State:MN
Mailing Address - Zip Code:56069-1529
Mailing Address - Country:US
Mailing Address - Phone:507-364-8101
Mailing Address - Fax:
Practice Address - Street 1:101 2ND ST NE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:MN
Practice Address - Zip Code:56069-1529
Practice Address - Country:US
Practice Address - Phone:507-364-8101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherFEDERAL TAX I.D.NUMBER