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LEBANON PHYSICIANS FOR WOMEN, PLLC

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Company Details

Name: LEBANON PHYSICIANS FOR WOMEN, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 08 Dec 1998 (27 years ago)
Organization Date: 08 Dec 1998 (27 years ago)
Last Annual Report: 26 Jun 2015 (10 years ago)
Managed By: Members
Organization Number: 0465794
ZIP code: 40033
City: Lebanon, Calvary
Primary County: Marion County
Principal Office: 330 LORETTO RD, SUITE 500, LEBANON, KY 40033
Place of Formation: KENTUCKY

Registered Agent

Name Role
MARK ACKERMANN, M.D. Registered Agent

Organizer

Name Role
MARK ACKERMANN, M.D. Organizer

Member

Name Role
LYNVAL T REYNOLDS Member
MARK ACKERMANN Member

National Provider Identifier

NPI Number:
1215094792

Authorized Person:

Name:
JENNIFER VAUGHN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
611336706
Plan Year:
2017
Number Of Participants:
0
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
10
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2016-10-01
Annual Report 2015-06-26
Annual Report 2014-06-23
Annual Report 2013-06-28
Annual Report 2012-01-26

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Sources: Kentucky Secretary of State