Provider Demographics
NPI:1790846566
Name:LAKE COUNTY SCHOOLS
Entity Type:Organization
Organization Name:LAKE COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ESE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-253-6600
Mailing Address - Street 1:201 W BURLEIGH BLVD
Mailing Address - Street 2:ESE DEPT.
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-2407
Mailing Address - Country:US
Mailing Address - Phone:352-253-6600
Mailing Address - Fax:353-343-7817
Practice Address - Street 1:201 W BURLEIGH BLVD
Practice Address - Street 2:ESE DEPT.
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-2407
Practice Address - Country:US
Practice Address - Phone:352-253-6600
Practice Address - Fax:353-343-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)