| LCA CASE NUMBER | I-200-16201-442785 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 7/22/16 |
| DECISION DATE | 7/28/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/3/16 |
| EMPLOYMENT END DATE | 10/2/18 |
| 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 | 4016062211 |
| 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 |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 63,648.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 170,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | PROVIDENCE |
| WORKSITE COUNTY | PROVIDENCE |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 02903 |
