Search icon

LESLIE CANYON FAMILY MEDICINE, P.S.

Company claim

Is this your business?

Get access!

Company Details

Legal Name: LESLIE CANYON FAMILY MEDICINE, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: August 5th 1996
Date of Dissolution: January 3rd 2019
Expiration date: 31 Aug 2018
UBI Number: 601 730 839

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
LUCIEN MEGNA Registered Agent 2630 N COLUMBIA CENTER BLVD, RICHLAND, WA, 99352-4853, UNITED STATES

Key Officers & Management

Name Role
LUKE MEGNA Governing Person

National Provider Identifier

NPI Number:
1538349030

Authorized Person:

Name:
DR. LUCIEN T MEGNA
Role:
PRESIDIENT / CEO
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
5096280537
See something incorrect or outdated? Let us know