Provider Demographics
NPI:1861653313
Name:LYNDEN SCHOOL DISTRICT 504
Entity Type:Organization
Organization Name:LYNDEN SCHOOL DISTRICT 504
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL PROGRAMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-354-2893
Mailing Address - Street 1:1203 BRADLEY RD
Mailing Address - Street 2:
Mailing Address - City:LYNDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98264-9514
Mailing Address - Country:US
Mailing Address - Phone:360-354-4443
Mailing Address - Fax:
Practice Address - Street 1:205 S BRITISH COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LYNDEN
Practice Address - State:WA
Practice Address - Zip Code:98264-2053
Practice Address - Country:US
Practice Address - Phone:360-354-2893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)