| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | LAURIE A PROVOST · PROVOST, LAURIE | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [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 · OIFP
People and companies excluded from Federally funded health care programs
United States · OIG
us-mednj-68f8dc041c7a49fc7e4d6573303582650ff0483d · us-fed-excl-laurie-a-provost-08750-sea-girtFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Department of Health and Human Services Office of Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 10 BALTIMORE BOULEVARD, SEA GIRT, NJ 08750 | United States | |
| United States | New Jersey Office of the State Comptroller | - | - |