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LAKESIDE ANESTHESIA SERVICES LLC

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Company Details

Name: LAKESIDE ANESTHESIA SERVICES LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 12 May 2009 (16 years ago)
Financial Date End: 31 May 2018
Date dissolved: 11 Sep 2018
Entity Number: 261529
Place of Formation: IDAHO
File Number: 0000261529
ZIP code: 83860
County: Bonner County
Principal Address: PO BOX 1326 SAGLE, ID 83860

National Provider Identifier

NPI Number:
1265666598

Authorized Person:

Name:
LORRAINE GRANFIELD
Role:
BUSINESS OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2082653534

Filing

Filing Name Filing Number Filing date
Annual Report 0002009432 2017-06-21
Annual Report 0002009431 2016-05-19
Annual Report 0002009430 2015-05-17
Annual Report 0002009429 2014-05-10
Annual Report 0002009428 2013-03-21

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State