| Name: | Lane Dermatology, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Feb 2024 (9 months ago) (Companies founded in February 2024) |
| Entity Number: | 001-122-438 |
| Register Number: | 001122438 |
| ZIP code: | 36867 (Companies in Russell, 36867) |
| County: | Russell |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 1604 Broad StreetPhenix City, AL 36867 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538919758 | 2024-03-22 | 2024-03-22 | 1210 BROOKSTONE CENTRE PKWY, COLUMBUS, GA, 319049272, US | 338 SAMFORD VILLAGE COURT, AUBURN, AL, 36830, US | |||||||||||||||
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| Phone | +1 706-322-1717 |
| Fax | 7063221718 |
Authorized person
| Name | DR. JOSHUA E LANE |
| Role | OWNER |
| Phone | 7063221717 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Mann, Virginia A | Agent |
| Name | Role | Address |
|---|---|---|
| Joshua, Lane E | Organizer | 1210 Brookstone Centre ParkwayColumbus, GA 31904 |
| Lane, Tanda N | Organizer | 1210 Brookstone Centre ParkwayColumbus, GA 31904 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
