Provider Demographics
NPI:1730407735
Name:LAKELAND R-III SCHOOL DISTRICT
Entity type:Organization
Organization Name:LAKELAND R-III SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOURLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-644-2223
Mailing Address - Street 1:12530 LAKELAND SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:DEEPWATER
Mailing Address - State:MO
Mailing Address - Zip Code:64740-8138
Mailing Address - Country:US
Mailing Address - Phone:417-644-2223
Mailing Address - Fax:417-644-2316
Practice Address - Street 1:12530 LAKELAND SCHOOL DR
Practice Address - Street 2:
Practice Address - City:DEEPWATER
Practice Address - State:MO
Practice Address - Zip Code:64740-8138
Practice Address - Country:US
Practice Address - Phone:417-644-2223
Practice Address - Fax:417-644-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)