| Name: | Lamar Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Feb 2015 (10 years ago) |
| Entity Number: | 000-329-032 |
| Register Number: | 000329032 |
| Place of Formation: | Lamar County |
| Registered Office Street Address: | 13530 HIGHWAY 96MILLPORT, AL 33576 |
| Registered Office Mailing Address: | P.O. BOX 217MILLPORT, AL 33576 |
Activities
NOT PROVIDED
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790177459 | 2015-03-04 | 2015-03-04 | 13530 HIGHWAY 96, MILLPORT, AL, 355762522, US | 13530 HIGHWAY 96, MILLPORT, AL, 355762522, US | |||||||||||||||
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| Phone | +1 205-662-5784 |
| Fax | 2056625786 |
Authorized person
| Name | MRS. ALICE M TRULL |
| Role | ADMINISTRATOR AND OFFICER |
| Phone | 2056625784 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TRULL, ALICE | Agent | 13530 HIGHWAY 96MILLPORT, AL 33576 |
| Name | Role | Address |
|---|---|---|
| TRULL, ALICE | Organizer | 13530 HIGHWAY 96MILLPORT, AL 33576 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
