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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | LOWELL-SENTURIA, LISA | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Sector | MD | [sources] | |||
| Status | not available | [sources] | |||
| Address | DOGWOOD TRAIL, RANDOLPH, NJ 07869 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-045807a44a21feb8ce58d97bf23902949b6b5ba7 · us-mednj-879a48de81c9bb07e50021e89189cf00f4ac7443For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| DOGWOOD TRAIL, RANDOLPH, NJ 07869 | United States | |