Provider Demographics
NPI:1881853380
Name:LASALLE PARISH SCHOOL BOARD
Entity Type:Organization
Organization Name:LASALLE PARISH SCHOOL BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL ED. SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ETHEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-992-5971
Mailing Address - Street 1:PO BOX 90
Mailing Address - Street 2:3012 N. 1ST STREET
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-0090
Mailing Address - Country:US
Mailing Address - Phone:318-992-2161
Mailing Address - Fax:
Practice Address - Street 1:3012 N 1ST STREET
Practice Address - Street 2:
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342-0090
Practice Address - Country:US
Practice Address - Phone:318-992-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1415-359OtherKID MED