LUCIA MEDICAL GROUP, PLLC
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| Legal Name: | LUCIA MEDICAL GROUP, PLLC |
| Jurisdiction: | WASHINGTON |
| Entity Type: | WA PROFESSIONAL LIMITED LIABILITY COMPANY |
| Category: | DOMESTIC ENTITY |
| Status: | Active |
| Formation/ Registration Date: | September 7th 2017 |
| Expiration date: | 30 Sep 2025 |
| UBI Number: | 604 170 203 |
| ZIP code: | 98672 |
| City: | White Salmon |
| County: | KLICKITAT |
| Home State: | WASHINGTON |
| Principal Office Street Address: |
946 SE OAK ST, WHITE SALMON, WA, 98672, UNITED STATES
|
| Principal Office Mailing Address: |
PO BOX 1952, WHITE SALMON, WA, 98672, UNITED STATES
|
| E-Mail: |
JENNA.NEWCOMB@GMAIL.COM |
| Phone Number: |
+1 360-607-6060 |
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| Name | Role | Address |
|---|---|---|
| TREVOR CARTALES | Registered Agent | 1310 MAIN ST, VANCOUVER, WA, 98660-2919, UNITED STATES |
| Name | Role | Address |
|---|---|---|
| JENNA NEWCOMB BARKHIMER | Governing Person | 946 SE OAK ST, WHITE SALMON, WA, 98672, UNITED STATES |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | LUCIA MEDICAL GROUP, LLC | LUCIA MEDICAL GROUP, PLLC | 2022-04-19 |