Provider Demographics
NPI:1619482528
Name:LEBANON BOARD OF EDUCATION
Entity Type:Organization
Organization Name:LEBANON BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRPENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-642-3555
Mailing Address - Street 1:891 EXETER RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:CT
Mailing Address - Zip Code:06249-1742
Mailing Address - Country:US
Mailing Address - Phone:860-642-7795
Mailing Address - Fax:
Practice Address - Street 1:891 EXETER RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:CT
Practice Address - Zip Code:06249-1742
Practice Address - Country:US
Practice Address - Phone:860-642-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)