MEDICARE: LORDSTOWN LOCAL SCHOOLS

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	:	1922245257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LORDSTOWN LOCAL SCHOOLS

Provider Business Mailing Address
First Line	:	1824 SALT SPRINGS RD
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44481-9735
Country	:	US
Telephone Number	:	330-824-2519
Fax Number	:	330-824-2847

Provider Business Practice Location Address
First Line	:	1824 SALT SPRINGS RD
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44481-9735
Country	:	US
Telephone Number	:	330-824-2519
Fax Number	:	330-824-2847

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. WILLIAM PFAHLER
Credential	:
Telephone Number	:	330-824-2519

Provider Enumeration Date	:	01/08/2009
Last Update Date	:	01/08/2009

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Directions to “LORDSTOWN LOCAL SCHOOLS ” Practice Location

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