| Name | LAWRENCE M. RUBIN, DPM |
|---|---|
| Address | 10924 GRAND HAVEN AVENUE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89134 |
| Mailing State | NV |
| Agent Type | Noncommercial Registered Agent |
| Company | LOWER EXTREMITY AMPUTATION PREVENTION (LEAP) ALLIANCE |
|---|---|
| Entity Number | E0613832009-3 |
| NV Business ID | NV20091567847 |