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LEE CHIROPRACTIC, P.A.

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Company Details

Name: LEE CHIROPRACTIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Jan 2009 (17 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 548616
Place of Formation: IDAHO
File Number: 548616
ZIP code: 83201
County: Bannock County
Mailing Address: 196 PARK AVE POCATELLO, ID 83201-4619

Agent

Name Role Address
SUE ANN LEE Agent 196 PARK AVE, POCATELLO, ID 83201

President

Name Role Address Appointed On
Robert C Lee President 196 PARK AVE, POCATELLO, ID 83201 2020-12-03

Secretary

Name Role Address Appointed On Resigned On
Sue A Lee Secretary 196 PARK AVE, POCATELLO, ID 83201 2024-01-10 2024-01-10

National Provider Identifier

NPI Number:
1518967132

Authorized Person:

Name:
MR. ROBERT CRAIG LEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2082339275

Filing

Filing Name Filing Number Filing date
Annual Report 0006048615 2025-01-04
Annual Report 0005557841 2024-01-10
Annual Report 0005046613 2023-01-03
Annual Report 0004605411 2022-02-11
Annual Report 0004083910 2020-12-03

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State