MEDICARE: LAKE COUNTY OFFICE OF EDUCATION

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1427858950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAKE COUNTY OFFICE OF EDUCATION

Provider Business Mailing Address
First Line	:	1152 S MAIN ST
Second Line	:
City	:	LAKEPORT
State	:	CA
Zip	:	95453-5517
Country	:	US
Telephone Number	:	707-262-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	9240 LAKE ST
Second Line	:
City	:	LOWER LAKE
State	:	CA
Zip	:	95457-9525
Country	:	US
Telephone Number	:	707-994-5787
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SUPERINTENDENT FISCAL SVC
Name	:	DENISE SHANNON
Credential	:
Telephone Number	:	707-262-4100

Provider Enumeration Date	:	03/14/2025
Last Update Date	:	03/14/2025

Similar Medicare Providers

1942156153 — JOYMARIE BRATTON
Practice Location Address:

9240 LAKE ST
LOWER LAKE, CA
95457-9525

Practice Phone: 707-994-5787
Practice Fax:

1548240187 — NORA R HARDY CNM
Practice Location Address:

2535 MINER LAKE DR
ALLEGAN, MI
49010-9525

Practice Phone: 269-399-9999
Practice Fax:

1851595821 — KAREN LYNN HEMMELSBACH
Practice Location Address:

15288 STATE RD
SPRING LAKE, MI
49456-9525

Practice Phone: 616-846-6153
Practice Fax: 616-846-5101

1932355476 — SUSAN BARD AUSSICKER
Practice Location Address:

124 MIDLINE RD
BALLSTON LAKE, NY
12019-9525

Practice Phone: 518-309-3766
Practice Fax:

1518272988 — KATHRYN GROOMS L.M.P.
Practice Location Address:

9525 4TH ST NE
LAKE STEVENS, WA
98258-1631

Practice Phone: 425-397-8313
Practice Fax: 425-397-8330

1659229185 — MANUELLA SMOLEY MS, CCC-SLP
Practice Location Address:

9430B LAKE ST
LOWER LAKE, CA
95457-8600

Practice Phone: 707-549-3092
Practice Fax:

Directions to “LAKE COUNTY OFFICE OF EDUCATION ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.