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ANTHONY LEWIS MARTIN, D.O. PLLC

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Company Details

Name: ANTHONY LEWIS MARTIN, D.O. PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 13 Mar 2007 (18 years ago)
Organization Date: 13 Mar 2007 (18 years ago)
Last Annual Report: 26 Jul 2012 (13 years ago)
Managed By: Members
Organization Number: 0659686
ZIP code: 40324
City: Georgetown
Primary County: Scott County
Principal Office: 1138 LEXINGTON ROAD, SUITE 290, GEORGETOWN, KY 40324
Place of Formation: KENTUCKY

Registered Agent

Name Role
ANTHONY LEWIS MARTIN Registered Agent

Member

Name Role
ANTHONY LEWIS MARTIN Member

Organizer

Name Role
ANTHONY L. MARTIN Organizer

National Provider Identifier

NPI Number:
1558553974

Authorized Person:

Name:
DR. ANTHONY LEWIS MARTIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-07-26
Annual Report 2011-03-07
Annual Report 2010-04-27
Annual Report 2009-11-02

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Sources: Kentucky Secretary of State