Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | LAURIE A PROVOST · PROVOST, LAURIE | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | LAURIE | [sources] | |||
Last name | PROVOST | [sources] | |||
Middle name | A | [sources] | |||
Sector | LPN | [sources] | |||
Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
Address | 10 BALTIMORE BLVD, SEA GIRT, NJ 08750 · 10 BALTIMORE BOULEVARD, SEA GIRT, NJ 08750 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States of America · OIFP
People and companies excluded from Federally funded health care programs
United States of America · OIG
us-fed-excl-laurie-a-provost-08750-sea-girt
· us-mednj-68f8dc041c7a49fc7e4d6573303582650ff0483d
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | New Jersey Office of the State Comptroller | - |
Address | ||
---|---|---|
Full address | Country | |
10 BALTIMORE BOULEVARD, SEA GIRT, NJ 08750 | United States of America |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |