| Name: | Lakeland Physician Practices, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 19 Sep 2002 (22 years ago) (Companies founded in September 2002) |
| Entity Number: | 000-604-543 |
| Register Number: | 000604543 |
| Historical Names: |
Burdick West Physician Practices, LLC
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 103 POWELL COURT STE 200BRENTWOOD, TN 37027 |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
HEALTHCARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679913784 | 2013-07-03 | 2013-07-03 | PO BOX 1085, HALEYVILLE, AL, 355651085, US | 42030 HIGHWAY 195, SUITE D, HALEYVILLE, AL, 355657054, US | |||||||||||||||
|
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| Phone | +1 205-485-7243 |
| Fax | 2054857244 |
Authorized person
| Name | ANGIE MANGUM |
| Role | SENIOR DIRECTOR |
| Phone | 6155651898 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-09-23 | Name Change | Burdick West Physician Practices, LLC | Lakeland Physician Practices, LLC |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
