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Lynda Masco, CRNP, LLC

Details

Name: Lynda Masco, CRNP, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 25 Jun 2020 (4 years ago) (Companies founded in June 2020)
Entity Number: 000-636-206
Register Number: 000636206
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 807 TANNAHILL DRIVE SEHUNTSVILLE, AL 35802

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104682046 2024-02-27 2024-02-27 PO BOX 4993, HUNTSVILLE, AL, 358154993, US 4100 MARKET ST STE 177, HUNTSVILLE, AL, 358083006, US

Contacts

Phone +1 256-693-0880

Authorized person

Name LYNDA MASCO
Role MANAGER
Phone 6619179136

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
Is Primary Yes

Agent

Name Role
MASCO, LYNDA J Agent

Organizer

Name Role Address
MASCO, LYNDA JEAN Organizer 807 TANNAHILL DRIVE SEHUNTSVILLE, AL 35802

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State