| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Lora Beth Henne | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Lora Beth | [sources] | |||
| ID Number | PC011009 · PROMISe: 103595868 | [sources] | |||
| Last name | Henne | [sources] | |||
| NPI | 1043733165 | [sources] | |||
| Address | Berks, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medde-382942ca951bed0c79e69366c1867a6aaa9a54ea · us-medpa-ebf7982c3b54065a02681fe22e6241e439872286For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| BERKS, PA · Berks, PA | United States | |
| United States | Department of Human Services | - | - |