| LCA CASE NUMBER | I-200-19072-095163 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-03-13 |
| DECISION DATE | 2019-03-19 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-09-12 |
| EMPLOYMENT END DATE | 2022-09-11 |
| LCA CASE EMPLOYER NAME | LAKEWOOD FAMILY DENTAL OF LAFAYETTE INC. |
| EMPLOYER ADDRESS | 2 EXECUTIVE DRIVE |
| EMPLOYER CITY | LAFAYETTE |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47905 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7658076666 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | KELLIELEGO |
| AGENT ATTORNEY CITY | COLUMBIA |
| AGENT ATTORNEY STATE | MD |
| LCA CASE JOB TITLE | ASSOCIATE DENTIST |
| SOC CODE | 29-1021 |
| SOC NAME | DENTISTS, GENERAL |
| NAICS CODE | 621210 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 92102 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 1 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE TO | 120000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | LAFAYETTE |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47905 |
| WILLFUL VIOLATOR | False |
