Provider Demographics
NPI:1710701578
Name:LAKE COUNTY OFFICE OF EDUCATION
Entity type:Organization
Organization Name:LAKE COUNTY OFFICE OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT FISCAL SVC
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-262-4100
Mailing Address - Street 1:PO BOX 1233
Mailing Address - Street 2:
Mailing Address - City:KELSEYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95451-1233
Mailing Address - Country:US
Mailing Address - Phone:707-245-7757
Mailing Address - Fax:
Practice Address - Street 1:4335 SYLAR LN
Practice Address - Street 2:
Practice Address - City:KELSEYVILLE
Practice Address - State:CA
Practice Address - Zip Code:95451-9436
Practice Address - Country:US
Practice Address - Phone:707-245-7757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAKE COUNTY OFFICE OF EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)