| LCA CASE NUMBER | I-200-23132-016785 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-12 |
| DECISION DATE | 2023-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-01 |
| END DATE | 2026-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lakes National Emergency Physicians Inc. |
| EMPLOYER ADDRESS1 | 39 Main Street |
| EMPLOYER CITY | Tiburon |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94920 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14154354591 |
| NAICS CODE | 54199 |
| EMPLOYER POC LAST NAME | Osborne |
| EMPLOYER POC FIRST NAME | Lynn |
| EMPLOYER POC JOB TITLE | National Recruiter |
| EMPLOYER POC ADDRESS1 | 39 Main Street |
| EMPLOYER POC CITY | Tiburon |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94920 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18593272663 |
| EMPLOYER POC EMAIL | lynn.osborne@neshealth-care.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wong |
| AGENT ATTORNEY FIRST NAME | Margaret |
| AGENT ATTORNEY ADDRESS1 | 3150 Chester Avenue |
| AGENT ATTORNEY CITY | Cleveland |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12165669908 |
| AGENT ATTORNEY PHONE EXT | 137 |
| AGENT ATTORNEY EMAIL ADDRESS | francisf@imwong.com |
| LAWFIRM NAME BUSINESS NAME | Margaret W. Wong & Associates LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | St. Joseph |
| WORKSITE ADDRESS1 | 360 Broadway |
| LCA CASE WORKLOC1 CITY | Bangor |
| WORKSITE COUNTY | BANGOR CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04401 |
| LCA CASE WAGE RATE FROM | 428832 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 162635 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
