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THERESA LANE PICKERING

Debarred entity
TypePerson[sources]
NameLane-Fisher, Theresa · THERESA LANE FISHER · THERESA LANE PICKERING[sources]
Birth date[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameTHERESA[sources]
Last nameFISHER · LANE FISHER · PICKERING[sources]
Middle nameLANE[sources]
NPI1780898577[sources]
SectorPhysician Assistant[sources]
Unique Entity IDCLZYKQXMHEF6[sources]
PositionPHYSICIAN ASSISTANT (IND- LIC HC SERV PRO)[sources]
Address3794 MS-468, PEARL, MS 39208 · 4436 North State Street, Suite A1, Jackson, MS 39206 · MARIANNA, FL 32447 · P O BOX 7007, MARIANNA, FL 32447 · PEARL, MS 39208[sources]
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Data sources

US Georgia Healthcare provider exclusions1,316

Providers who have been terminated for cause from Georgia's Medicaid program.

United States · DCH

US Mississippi Medicaid Terminated Provider List219

Service providers who have been terminated for cause from Mississippi's Medicaid program.

United States · Mississippi Division of Medicaid

US SAM Procurement Exclusions105,508

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

US Health and Human Sciences Inspector General Exclusions81,562

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-medms-01231575dcc7f74033e8278aec0e77f0150fb502 · us-fed-excl-theresa-lane-pickering-32447-marianna · us-fed-excl-theresa-lane-fisher-39208-pearl · NK-ak9VLT3ywSsr4QAYHvoS4g · us-medga-df32159c299dfb80de2d30ceb0676fc449651373 · us-medga-9c313d15a59719648a11709e2a0219ec4eebc5af · us-npi-1780898577

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FactsheetData sources
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