Provider Demographics
NPI:1104260199
Name:LISBON COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:LISBON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-455-2075
Mailing Address - Street 1:235 SCHOOL STREET
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:IA
Mailing Address - Zip Code:52253-0000
Mailing Address - Country:US
Mailing Address - Phone:319-455-2075
Mailing Address - Fax:319-455-2733
Practice Address - Street 1:235 W SCHOOL ST
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:IA
Practice Address - Zip Code:52253-0000
Practice Address - Country:US
Practice Address - Phone:319-455-2075
Practice Address - Fax:319-455-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)