Provider Demographics
NPI:1144887985
Name:LAWNSIDE PUBLIC SCHOOL
Entity type:Organization
Organization Name:LAWNSIDE PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUKIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:856-547-2626
Mailing Address - Street 1:426 E CHARLESTON AVE
Mailing Address - Street 2:
Mailing Address - City:LAWNSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08045-1404
Mailing Address - Country:US
Mailing Address - Phone:856-546-4850
Mailing Address - Fax:856-310-0901
Practice Address - Street 1:426 E CHARLESTON AVE
Practice Address - Street 2:
Practice Address - City:LAWNSIDE
Practice Address - State:NJ
Practice Address - Zip Code:08045-1404
Practice Address - Country:US
Practice Address - Phone:856-546-4850
Practice Address - Fax:856-310-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)