Healthcare Provider Details

I. General information

NPI: 1124052063
Provider Name (Legal Business Name): LYNDEN SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 MAIN ST
LYNDEN WA
98264-1326
US

IV. Provider business mailing address

516 MAIN ST
LYNDEN WA
98264-1326
US

V. Phone/Fax

Practice location:
  • Phone: 360-354-2893
  • Fax: 360-354-2785
Mailing address:
  • Phone: 360-354-2893
  • Fax: 360-354-2785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JUDITH BARTON
Title or Position: SPECIAL EDUCATION DIRECTOR
Credential: PH.D.
Phone: 360-354-2893