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NPI Code Detail

MEDICARE: LEXINGTON SCHOOL DISTRICT ONE

MEDICARE: LEXINGTON SCHOOL DISTRICT ONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306995022
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON SCHOOL DISTRICT ONE
Provider Business Mailing Address
First Line : PO BOX 1869
Second Line :
City : LEXINGTON
State : SC
Zip : 29071-1869
Country : US
Telephone Number : 803-359-4178
Fax Number : 803-359-8807
Provider Business Practice Location Address
First Line : 100 TARRAR SPRINGS RD
Second Line :
City : LEXINGTON
State : SC
Zip : 29072-3835
Country : US
Telephone Number : 803-359-4178
Fax Number : 803-359-8807
Authorized Official
Title or Position : SUPERINTENDENT
Name : DR. KAREN WOODWARD
Credential :
Telephone Number : 803-951-8363
Provider Enumeration Date : 01/10/2007
Last Update Date : 08/22/2020

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1437711884 — SHELLEY WISE TAYLOR ATC
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Directions to “LEXINGTON SCHOOL DISTRICT ONE ” Practice Location

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