| LCA CASE NUMBER | I-200-17059-771994 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/17/2017 |
| DECISION DATE | 3/23/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/25/2017 |
| EMPLOYMENT END DATE | 8/24/2020 |
| LCA CASE EMPLOYER NAME | LIFESPAN PHYSICIAN GROUP INC. |
| EMPLOYER ADDRESS | 167 POINT STREET |
| EMPLOYER CITY | PROVIDENCE |
| EMPLOYER STATE | RI |
| EMPLOYER POSTAL CODE | 02903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4014443103 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BROWN, THOMAS |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| LCA CASE JOB TITLE | PHYSICIAN (HOSPITALIST) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 117,749.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 180,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | PROVIDENCE |
| WORKSITE COUNTY | PROVIDENCE |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02906 |
