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Lash OrthoSpine and Sports LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
Lash, Dustin Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State