MEDICARE: LAVEEN ELEMENTARY SCHOOL DISTRICT #59

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	:	1548382591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAVEEN ELEMENTARY SCHOOL DISTRICT #59

Provider Business Mailing Address
First Line	:	5001 W DOBBINS RD
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-9733
Country	:	US
Telephone Number	:	602-237-9100
Fax Number	:	602-237-9130

Provider Business Practice Location Address
First Line	:	5001 W DOBBINS RD
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-9733
Country	:	US
Telephone Number	:	602-237-9100
Fax Number	:	602-237-9130

Authorized Official
Title or Position	:	STUDENT SERVICES SPECIALIST
Name	:	JULYANA GARIBAY
Credential	:
Telephone Number	:	602-237-9100

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	04/24/2025

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