Lake Country Classical Academy, Inc.
NPI #1720754757 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1720754757
- Entity Type
- Organization
- Organization Name
- Lake Country Classical Academy, Inc.
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Aug 19, 2021
- Last Updated
- Aug 19, 2021
Practice Location
- Address
- 818 W WISCONSIN AVE
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-2623
- Phone
- (262) 269-0279
Authorized Official
- Name
- ERIC WOZNIAK, PHD
- Title
- BUSINESS MANAGER
- Phone
- (414) 617-9606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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