LUBBOCK INDEPENDENT SCHOOL DISTRICT NPI 1669543401

NPI Information

NPI: 1669543401
Provider Name: LUBBOCK INDEPENDENT SCHOOL DISTRICT
Classification: Clinic/Center - 261QD1600X
Specialization: Developmental Disabilities
Entity Type: Organization
Doing Business As: LISD ECI DEBT PROGRAM
CLIA Number: 45D2269553
Address: 1628 19TH ST
LUBBOCK, TX
ZIP 79401
Phone: (806) 219-0500

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NPI Details

LUBBOCK INDEPENDENT SCHOOL DISTRICT is a developmental disabilities clinic center in Lubbock, TX. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). LUBBOCK INDEPENDENT SCHOOL DISTRICT NPI is 1669543401. The provider is registered as an organization entity type.
The provider Is Doing Business As Lisd Eci Debt Program.

The provider's business location address is:

1628 19TH ST
LUBBOCK, TX
ZIP 79401-832
Phone: (806) 219-0500
Fax: (806) 766-1286

The provider's authorized official is Bryan Sessom .
The authorized official title is Director and has the following contact phone number (806) 219-0500.

The CLIA number assigned to this NPI record is 45D2269553 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management				No
2	261QD1600X	Clinic/Center	Developmental Disabilities			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	017422901	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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