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Contact Information

LAKESIDE PUBLIC SCHOOLS
1110 SOUTH LAKESHORE DRIVE
LAKE VILLAGE, AR71653
 Phone: 870-367-6848
 Fax: 870-367-9877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for LAKESIDE PUBLIC SCHOOLS

NPI # 1639371248
LBN Legal business name LAKESIDE PUBLIC SCHOOLS
Authorized official JEANIE DONALDSON - (MITS SUPERVISOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2007
Last updated 07/15/2008 - About 18 years ago
Identifiers
AR License # 0903
AR Medicaid 116592743
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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