Healthcare Provider Details

I. General information

NPI: 1538077573
Provider Name (Legal Business Name): LAKE MOUNTAIN SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 N COMMERCE DR
SARATOGA SPRINGS UT
84045-5301
US

IV. Provider business mailing address

1307 N COMMERCE DR
SARATOGA SPRINGS UT
84045-5301
US

V. Phone/Fax

Practice location:
  • Phone: 385-579-7000
  • Fax:
Mailing address:
  • Phone: 385-579-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JACLYN KING KNAPP
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential: EDD
Phone: 801-643-5225