| LCA CASE NUMBER | I-200-23156-079478 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-05 |
| DECISION DATE | 2023-06-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-30 |
| END DATE | 2026-08-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Lake Cumberland Physician Practices, LLC |
| EMPLOYER ADDRESS1 | 30 Tower Circle |
| EMPLOYER CITY | Somerset |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 42503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16064510300 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McKinney |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 30 Tower Circle |
| EMPLOYER POC CITY | Somerset |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 42503 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16064512619 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Holland & Knight LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 26 Oxford Way |
| LCA CASE WORKLOC1 CITY | Somerset |
| WORKSITE COUNTY | PULASKI |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 42503 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 425000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Perez/91937 |
| PREPARER FIRST NAME | Alana |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Holland & Knight, LLP |
| PREPARER EMAIL | [email protected] |
