MEDICARE: LAKESIDE SCHOOL DISTRICT

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1821135245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKESIDE SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2837 MALVERN AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-8321
Country	:	US
Telephone Number	:	501-262-1724
Fax Number	:	501-262-6227

Provider Business Practice Location Address
First Line	:	2837 MALVERN AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-8321
Country	:	US
Telephone Number	:	501-262-1724
Fax Number	:	501-262-6227

Authorized Official
Title or Position	:	LEA SUPERVISOR
Name	:	MRS. JUDY BLACKWOOD
Credential	:
Telephone Number	:	501-262-1724

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1760526636 — JENNIFER MOORE
Practice Location Address:

2837 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-1724
Practice Fax: 501-262-6227

1942427919 — MRS. HALEY H HANCOCK CCC-SLP
Practice Location Address:

2855 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-0233
Practice Fax:

1497916761 — LISA WILSON
Practice Location Address:

2837 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-1724
Practice Fax:

1588828677 — JORDAN JACKSON WRIGHT
Practice Location Address:

2837 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-1724
Practice Fax: 501-262-6227

1639333719 — RACHEL LINDSEY JONES
Practice Location Address:

2837 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-1724
Practice Fax: 501-262-6227

1114290467 — KIRSTEN SAVAGE
Practice Location Address:

2835 MALVERN AVE
HOT SPRINGS, AR
71901-8321

Practice Phone: 501-262-2766
Practice Fax: 501-262-2544

Directions to “LAKESIDE SCHOOL DISTRICT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.