Provider Demographics
NPI:1578618039
Name:LINCOLN TRAIL AREA DEVELOPMENT DISTRICT
Entity Type:Organization
Organization Name:LINCOLN TRAIL AREA DEVELOPMENT DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WENDELL
Authorized Official - Middle Name:C
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-769-2393
Mailing Address - Street 1:613 COLLEGE STREET RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3052
Mailing Address - Country:US
Mailing Address - Phone:270-769-2393
Mailing Address - Fax:270-769-2993
Practice Address - Street 1:613 COLLEGE STREET RD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3052
Practice Address - Country:US
Practice Address - Phone:270-769-2393
Practice Address - Fax:270-769-2993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage