Name: | Lash OrthoSpine and Sports LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Limited Liability Company |
Status: | Exists |
Date of registration: | 02 Aug 2023 (a year ago) (Companies founded in August 2023) |
Entity Number: | 001-092-307 |
Register Number: | 001092307 |
ZIP code: | 36303 (Companies in Houston, 36303) |
County: | Houston |
Place of Formation: | Alabama |
Registered Office Street Address: | 109 Sawgrass DrDothan, AL 36303 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1629853312 | 2023-08-30 | 2023-10-25 | 2800 ROSS CLARK CIR STE 2, DOTHAN, AL, 363019917, US | 2800 ROSS CLARK CIR STE 2, DOTHAN, AL, 363019917, US | |||||||||||||||||
|
Phone | +1 334-239-0063 |
Fax | 3342394493 |
Phone | +1 480-262-5758 |
Authorized person
Name | DR. DUSTIN LASH |
Role | PHYSICIAN/OWNER |
Phone | 4802625758 |
Taxonomy
Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
Is Primary | Yes |
Name | Role |
---|---|
Lash, Dustin | Agent |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State