| Name: | Lou Ann Hubbard LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Jan 2014 (11 years ago) (Companies founded in January 2014) |
| Entity Number: | 000-294-137 |
| Register Number: | 000294137 |
| ZIP code: | 35563 (Companies in Marion, 35563) |
| County: | Marion |
| Place of Formation: | Marion County |
| Principal Address: | 252 13TH AVENUE WESTGUIN, AL 35563 |
| Principal Mailing Address: | PO BOX 339GUIN, AL 35563 |
Activities
RENDER PROFESSIONAL/ANCILLARY SVCS NURSE PRACTICE ACT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225450927 | 2014-01-14 | 2014-01-14 | 252 13TH AVE W, GUIN, AL, 355632355, US | 252 13TH AVE W, GUIN, AL, 355632355, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-468-3000 |
| Fax | 2054683033 |
Authorized person
| Name | LOU ANN HUBBARD |
| Role | OWNER |
| Phone | 2054683000 |
Taxonomy
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1-029249 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1245276468 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HUBBARD, LOU ANN | Agent | 252 13TH AVENUE WESTGUIN, AL 35563 |
| Name | Role | Address |
|---|---|---|
| HUBBARD, LOU ANN | Organizer | 252 13TH AVENUE WESTGUIN, AL 35563 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
