Provider Demographics
NPI:1699044032
Name:LAKE DALLAS ISD
Entity Type:Organization
Organization Name:LAKE DALLAS ISD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SP ED
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DOWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-497-1471
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:LAKE DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75065-0548
Mailing Address - Country:US
Mailing Address - Phone:940-497-8455
Mailing Address - Fax:940-497-1515
Practice Address - Street 1:104 SWISHER RD
Practice Address - Street 2:
Practice Address - City:LAKE DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75065-2322
Practice Address - Country:US
Practice Address - Phone:940-497-8455
Practice Address - Fax:940-497-1515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)