| Name: | Lakeview Family Practice, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 24 Oct 2022 (2 years ago) |
| Entity Number: | 10211599 |
| ZIP code: | 99623 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 7121 W SILVER DR, SUITE 211, WASILLA, AK 99623 |
| Mailing Address: | 1901 N HEMMER RD, SUITE 211, PALMER, AK 99645 |
Line of Business
62 Health Care and Social AssistanceNAICS
621399 OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS| Name | Role |
|---|---|
| David Crandall | Member |
| Kimberly Crandall | Member |
| Kimberly Crandall | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2162381 | Business License | Active | 2022-08-08 | 2023-10-05 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621399 - OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 202078 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2022-10-31 | 2022-10-31 | - |
Date of last update: 26 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
