Provider Demographics
NPI:1518050244
Name:LAKE WASHINGTON SCHOOL DISTRICT
Entity type:Organization
Organization Name:LAKE WASHINGTON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:425-702-3201
Mailing Address - Street 1:16250 NE 74TH ST
Mailing Address - Street 2:PO BOX 97039
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98073-9739
Mailing Address - Country:US
Mailing Address - Phone:425-702-3201
Mailing Address - Fax:
Practice Address - Street 1:16250 NE 74TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98073-9739
Practice Address - Country:US
Practice Address - Phone:425-702-3201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7441645Medicaid