=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073475737
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LINCOLN SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/01/2025
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 795 EAST RIVER ROAD
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05443-9672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-453-2119
-----------------------------------------------------
Fax | 802-453-3370
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 795 EAST RIVER ROAD
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05443-9672
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-453-2119
-----------------------------------------------------
Fax | 802-453-3370
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | STUDENT SUPPORT SERVICES DIRECTOR
-----------------------------------------------------
Name | ELIZABETH J MAHER
-----------------------------------------------------
Credential | MED & CAGS
-----------------------------------------------------
Telephone | 802-453-2119
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------