NPI 1720754757
Lake Country Classical Academy, INC.
Practice location
- Address
- 818 W Wisconsin Ave, Oconomowoc, WI 53066-2623
- Phone
- (262) 269-0279
Authorised official
- Name
- Eric Wozniak
- Title
- Business Manager
- Phone
- (414) 617-9606
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1720754757
- Entity type
- Organization
- NPI issued
- 19 Aug 2021
- Record last updated
- 19 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.