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LWK, P.C.

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Company Details

Name: LWK, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 06 Jul 1998 (27 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 382197
Place of Formation: IDAHO
File Number: 382197
ZIP code: 83616
County: Ada County
Mailing Address: 1293 W APPLECREEK CT EAGLE, ID 83616-1942

Agent

Name Role Address
LAVAR W KOFOED Agent 1293 W. APPLECREEK CT., EAGLE, ID 83616

President

Name Role Address Appointed On
LaVar Kofoed President 1293 W. APPLECREEK CT., EAGLE, ID 83616 2021-06-12

National Provider Identifier

NPI Number:
1851624019
Certification Date:
2020-02-04

Authorized Person:

Name:
DR. LAVAR W KOFOED
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

Fax:
2082977518
Fax:
2083757970

Filing

Filing Name Filing Number Filing date
Annual Report 0005830453 2024-07-26
Annual Report 0005333894 2023-07-28
Annual Report 0004835243 2022-07-30
Annual Report 0004313883 2021-06-12
Annual Report 0003902137 2020-06-05

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State