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LAKESIDE PEDIATRIC AND ADOLESCENT MEDICINE, P.L.L.C.

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Company Details

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

Agent

Name Role Address
JEAN M PRINCE Agent 980 W IRONWOOD DR STE 302, COEUR D'ALENE, ID 83814

Member

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

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: 23 Jun 2025

Sources: Idaho Secretary of State