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LEBANON PEDIATRICS, L.L.C.

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Company Details

Name: LEBANON PEDIATRICS, L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 20 Oct 2000 (25 years ago)
Organization Date: 20 Oct 2000 (25 years ago)
Last Annual Report: 08 Jun 2017 (8 years ago)
Managed By: Managers
Organization Number: 0504004
ZIP code: 40033
City: Lebanon, Calvary
Primary County: Marion County
Principal Office: 311 WEST HIGH STREET, LEBANON, KY 40033
Place of Formation: KENTUCKY

Registered Agent

Name Role
DIANE S. THOMAS, M.D. Registered Agent

Manager

Name Role
Diane Sue Thomas, MD Manager

Organizer

Name Role
DIANE S. THOMAS, M.D. Organizer

National Provider Identifier

NPI Number:
1063686509

Authorized Person:

Name:
DR. DIANE S THOMAS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2706923863

Former Company Names

Name Action
DIANE S. THOMAS, M.D., L.L.C. Old Name

Filings

Name File Date
Administrative Dissolution 2018-10-16
Annual Report 2017-06-08
Annual Report 2016-05-25
Annual Report 2015-05-14
Annual Report 2014-06-04

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Sources: Kentucky Secretary of State