Healthcare Provider Details

I. General information

NPI: 1699962290
Provider Name (Legal Business Name): LAKE PRESTON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 1ST ST NE
LAKE PRESTON SD
57249
US

IV. Provider business mailing address

300 1ST ST NE
LAKE PRESTON SD
57249
US

V. Phone/Fax

Practice location:
  • Phone: 605-847-4455
  • Fax: 605-847-4311
Mailing address:
  • Phone: 605-847-4455
  • Fax: 605-847-4311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MRS. STACIA SNEESBY
Title or Position: BUSINESS MANAGER
Credential:
Phone: 605-847-4455