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NPI Code Detail

MEDICARE: JOINT SCHOOL DISTRICT #1, CITY OF LAKE GENEVA ET AL

MEDICARE: JOINT SCHOOL DISTRICT #1, CITY OF LAKE GENEVA ET AL
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
1251300000XLocal Education Agency (LEA)2885WI

General Provider Information

NPI Number : 1023247913
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOINT SCHOOL DISTRICT #1, CITY OF LAKE GENEVA ET AL
Provider Business Mailing Address
First Line : 208 E SOUTH ST
Second Line :
City : LAKE GENEVA
State : WI
Zip : 53147-2436
Country : US
Telephone Number : 262-348-1000
Fax Number : 262-248-6609
Provider Business Practice Location Address
First Line : 208 E SOUTH ST
Second Line :
City : LAKE GENEVA
State : WI
Zip : 53147-2436
Country : US
Telephone Number : 262-348-1000
Fax Number : 262-248-6609
Authorized Official
Title or Position : DIRECTOR, STUDENT SERVICES
Name : MRS. DONNA M. JAEGER
Credential :
Telephone Number : 262-348-1000
Provider Enumeration Date : 07/13/2009
Last Update Date : 07/13/2009

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Directions to “JOINT SCHOOL DISTRICT #1, CITY OF LAKE GENEVA ET AL ” 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.