| Name: | Lakeside North, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 23 Jul 2010 (14 years ago) |
| Date of dissolution: | 10 Mar 2015 |
| Entity Number: | 000-449-993 |
| Register Number: | 000449993 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 7938 HWY 69 STE 130GUNTERSVILLE, AL 35976 |
| Registered Office Street Address ZIP Code: | 35976 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396051447 | 2010-08-27 | 2010-08-27 | 7938 AL HIGHWAY 69, SUITE 130, GUNTERSVILLE, AL, 359767134, US | 7938 AL HIGHWAY 69, SUITE 130, GUNTERSVILLE, AL, 359767134, US | |||||||||||||||||||
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| Phone | +1 256-571-8460 |
| Fax | 2565718464 |
Authorized person
| Name | JEFFREY M SAYLOR |
| Role | MEMBER |
| Phone | 2565718460 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 22856 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CAMPBELL, D C | Agent |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, D C | Member | No data |
| YEAGER, NEIL C | Member | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, D C | Organizer | No data |
| YEAGER, NEIL C | Organizer | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
