LAKESIDE PEDIATRIC AND ADOLESCENT MEDICINE, P.L.L.C.
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| Name: | LAKESIDE PEDIATRIC AND ADOLESCENT MEDICINE, P.L.L.C. |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 15 Apr 2002 (23 years ago) |
| Financial Date End: | 30 Apr 2026 |
| Entity Number: | 70340 |
| Place of Formation: | IDAHO |
| File Number: | 70340 |
| ZIP code: | 83814 |
| County: | Kootenai County |
| Principal Address: | 980 W IRONWOOD DR STE 302 COEUR D'ALENE, ID 83814 |
| Mailing Address: | STE 302 980 W IRONWOOD DR COEUR D ALENE, ID 83814-2668 |
| Name | Role | Address |
|---|---|---|
| JEAN M PRINCE | Agent | 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID 83814 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| BRIAN HICKOK | Member | 980 IRONWOOD DR, COEUR D ALENE, ID 83814 | 2024-03-30 | 2024-07-05 |
| RONDA WESTCOTT | Member | 980 IRONWOOD DR, COEUR D'ALENE, ID 83814 | 2024-03-30 | 2024-07-05 |
| JEAN M PRINCE MD | Member | 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID 83814 | 2021-03-22 | No data |
| Matt Parker | Member | 980 IRONWOOD DR, COEUR D ALENE, ID 83814 | 2024-07-05 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006156746 | 2025-03-11 |
| Annual Report Amendment | 0005803211 | 2024-07-05 |
| Annual Report | 0005663524 | 2024-03-30 |
| Annual Report Amendment | 0005270477 | 2023-06-06 |
| Annual Report | 0005242868 | 2023-05-15 |
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Date of last update: 26 Aug 2025
Sources: Idaho Secretary of State