| Name: | Lenlock Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 May 2021 (4 years ago) |
| Entity Number: | 000-856-750 |
| Register Number: | 000856750 |
| County: | Cleburne |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 875 Ross StreetHeflin, AL 36264 |
| Registered Office Street Address ZIP Code: | 36264 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750954087 | 2021-07-23 | 2022-06-07 | 21 BILL ROBINSON PKWY, ANNISTON, AL, 362062624, US | 21 BILL ROBINSON PKWY, ANNISTON, AL, 362062624, US | |||||||||||||
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| Phone | +1 256-463-2197 |
Authorized person
| Name | DONNA BLAIR |
| Role | AUTHORIZED OFFICIAL |
| Phone | 2564632197 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Tant, Frank | Agent |
| Name | Role | Address |
|---|---|---|
| MACOY, MARK W | Organizer | 300 VESTAVIA PARKWAY, SUITE 2300VESTAVIA HILLS, AL 35216 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
