Provider Demographics
NPI:1134373103
Name:LAWRENCE TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:LAWRENCE TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-854-3830
Mailing Address - Street 1:5828 MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAWRENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44666
Mailing Address - Country:US
Mailing Address - Phone:330-854-3830
Mailing Address - Fax:
Practice Address - Street 1:1165 SOUTH LOCUST STREET
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614
Practice Address - Country:US
Practice Address - Phone:330-854-6755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9380521Medicare PIN