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LAKES ANESTHESIA, P.C.

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Company Details

Legal Name: LAKES ANESTHESIA, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 17th 1995
Date of Dissolution: August 1st 2012
Expiration date: 30 Apr 2012
UBI Number: 601 622 395

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Registered Agent Information

Name Role Address
JORGE M MERCED Registered Agent 11315 BIDGEPORT WAY SW, LAKEWOOD, WA, 98499, UNITED STATES

Key Officers & Management

Name Role Address
CHARLES PIATOK Governing Person 2502 N FREMONT ST, TACOMA, WA, 98406, UNITED STATES
JORGE MERCED Governing Person PO BOX 64742, UNIVERSITY PLACE, WA, 98464, UNITED STATES
JO ANN ALEXANIAN Governing Person 3720 YORKSHIE DR SE, OLYMPIA, WA, 98513, UNITED STATES
DAVID CHO Governing Person 2613 WEST PARKWAY DR, TACOMA, WA, 98406, UNITED STATES

National Provider Identifier

NPI Number:
1588655906

Authorized Person:

Name:
JORGE M MERCED
Role:
VICE-PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
Yes

Contacts:

Fax:
2535846544

Form 5500 Series

Employer Identification Number (EIN):
911670397
Plan Year:
2010
Number Of Participants:
10
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JOANN ALEXANIAN(Plan administrator) JOANN ALEXANIAN(Employer/plan sponsor)
Plan Year:
2009
Number Of Participants:
10
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
JOANN ALEXANIAN(Plan administrator) JOANN ALEXANIAN(Employer/plan sponsor)
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