| LCA CASE NUMBER | I-200-20108-495205 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-17 |
| DECISION DATE | 2020-04-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Physician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-31 |
| END DATE | 2023-08-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PREVEA CLINIC, INC. |
| EMPLOYER ADDRESS1 | 2710 EXECUTIVE DRIVE |
| EMPLOYER CITY | GREEN BAY |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18002363030 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LACY |
| EMPLOYER POC FIRST NAME | GEOFFREY |
| EMPLOYER POC MIDDLE NAME | ALAN |
| EMPLOYER POC JOB TITLE | ATTORNEY |
| EMPLOYER POC ADDRESS1 | 205 DOTY STREET |
| EMPLOYER POC ADDRESS2 | SUITE 201 |
| EMPLOYER POC CITY | GREEN BAY |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18448330824 |
| EMPLOYER POC EMAIL | GLACY@STRANGPATTESON.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330824.0 |
| AGENT ATTORNEY EMAIL ADDRESS | glacy@strangpatteson.com |
| LAWFIRM NAME BUSINESS NAME | Strang, Patteson, Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1715 Dousman Street |
| LCA CASE WORKLOC1 CITY | Green Bay |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54303 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE TO | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | ..N/A |
