| LCA CASE NUMBER | I-200-20258-820997 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-14 |
| DECISION DATE | 2020-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-08-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lahey Physician Community Organization 1, Inc |
| EMPLOYER ADDRESS1 | 41 Mall Road |
| EMPLOYER CITY | Burlington |
| EMPLOYER STATE | MA |
| EMPLOYER POSTAL CODE | 01805 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17817447544 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Cancellieri |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources |
| EMPLOYER POC ADDRESS1 | 41 Mall Road |
| EMPLOYER POC CITY | Burlington |
| EMPLOYER POC STATE | MA |
| EMPLOYER POC POSTAL CODE | 01805 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17817447044 |
| EMPLOYER POC EMAIL | Steven.R.Cancellieri@lahey.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hilbern |
| AGENT ATTORNEY FIRST NAME | Dyann |
| AGENT ATTORNEY MIDDLE NAME | DelVecchio |
| AGENT ATTORNEY ADDRESS1 | 2 Seaport Lane - Seaport East |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02210 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16179464911.0 |
| AGENT ATTORNEY EMAIL ADDRESS | kirizarry@seyfarth.com |
| LAWFIRM NAME BUSINESS NAME | Seyfarth Shaw LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 16 Hayden Ave |
| LCA CASE WORKLOC1 CITY | Lexington |
| WORKSITE COUNTY | LEXINGTON |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 02421 |
| LCA CASE WAGE RATE FROM | 120.1 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.18 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Irizarry |
| PREPARER FIRST NAME | Kym |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Seyfarth Shaw LLP. |
| PREPARER EMAIL | kirizarry@seyfarth.com |
