Provider Demographics
NPI:1679636138
Name:LESTERVILLE SCHOOL DIST R4
Entity Type:Organization
Organization Name:LESTERVILLE SCHOOL DIST R4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-637-2201
Mailing Address - Street 1:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:LESTERVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63654-0120
Mailing Address - Country:US
Mailing Address - Phone:573-637-2201
Mailing Address - Fax:573-637-2279
Practice Address - Street 1:120 HWY 21
Practice Address - Street 2:
Practice Address - City:LESTERVILLE
Practice Address - State:MO
Practice Address - Zip Code:63654-0120
Practice Address - Country:US
Practice Address - Phone:573-637-2201
Practice Address - Fax:573-637-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)