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LUBBOCK INDEPENDENT SCHOOL DISTRICT NPI 1669543401


NPI Information

NPI: 1669543401
Provider Name: LUBBOCK INDEPENDENT SCHOOL DISTRICT

Doing Business As: LISD ECI DEBT PROGRAM

Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1628 19TH ST
LUBBOCK, TX
ZIP 79401
Phone: (806) 219-0500
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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 enumeration date for this NPI number is 11/13/2006 and was last updated on 11/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017422901MEDICAIDTEXAS

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: 11/14/2023

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