Provider Demographics
NPI:1316089493
Name:LORENZO ISD
Entity type:Organization
Organization Name:LORENZO ISD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-634-5518
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:1003 4TH STREET
Mailing Address - City:LORENZO
Mailing Address - State:TX
Mailing Address - Zip Code:79343-0488
Mailing Address - Country:US
Mailing Address - Phone:806-634-5518
Mailing Address - Fax:806-634-8419
Practice Address - Street 1:1003 4TH STREET
Practice Address - Street 2:
Practice Address - City:LORENZO
Practice Address - State:TX
Practice Address - Zip Code:79343-0488
Practice Address - Country:US
Practice Address - Phone:806-634-5518
Practice Address - Fax:806-634-8419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)