Provider Demographics
NPI:1851572408
Name:NORTH LAKELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTH LAKELAND SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:VOUGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-543-8417
Mailing Address - Street 1:12686 COUNTY HWY K
Mailing Address - Street 2:
Mailing Address - City:MANITOWISH WATERS
Mailing Address - State:WI
Mailing Address - Zip Code:54545
Mailing Address - Country:US
Mailing Address - Phone:715-543-8417
Mailing Address - Fax:715-543-8868
Practice Address - Street 1:12686 COUNTY HWY K
Practice Address - Street 2:
Practice Address - City:MANITOWISH WATERS
Practice Address - State:WI
Practice Address - Zip Code:54545
Practice Address - Country:US
Practice Address - Phone:715-543-8417
Practice Address - Fax:715-543-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44225900Medicaid