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L. BROCK WREN, OD, PLLC

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Company Details

Name: L. BROCK WREN, OD, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Mar 2010 (15 years ago)
Financial Date End: 31 Mar 2013
Date dissolved: 12 Jun 2013
Entity Number: 283650
Place of Formation: IDAHO
File Number: 0000283650
ZIP code: 83221
County: Bingham County
Principal Address: 55 RODGERS AVE BLACKFOOT, ID 83221

National Provider Identifier

NPI Number:
1114220936

Authorized Person:

Name:
LEE BROCK WREN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2083763029

Filing

Filing Name Filing Number Filing date
Annual Report 0002136510 2012-02-16
Annual Report 0002136509 2011-01-25
Initial Filing 0000283650 2010-03-10

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State