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Laura Lee Taylor M.D., LLC

Details

Name: Laura Lee Taylor M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Feb 2009 (16 years ago)
Entity Number: 000-430-868
Register Number: 000430868
Historical Names: Laura Lee Taylor Adams, M.D., LLC
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 12935 HWY 231-431 NHAZEL GREEN, AL 35750
Registered Office Street Address ZIP Code: 35750

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104052059 2009-06-05 2013-09-09 12935 HIGHWAY 231 431 N, HAZEL GREEN, AL, 357508631, US 12935 HIGHWAY 231 431 N, HAZEL GREEN, AL, 357508631, US

Contacts

Phone +1 256-828-6766
Fax 2562617877

Authorized person

Name DR. LAURA LEE TAYLOR I
Role OWNER
Phone 2568286766

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 28238
State AL
Is Primary Yes

Agent

Name Role
ADAMS, LAURA LEE Agent

Member

Name Role
ADAMS, LAURA LEE TAYLOR Member

Events

Event Date Event Type Old Value New Value
2013-01-16 Name Change Laura Lee Taylor Adams, M.D., LLC Laura Lee Taylor M.D., LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State