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ANTONIO LACEY

Debarred entity

ANTONIO LACEY is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	ANTONIO LACEY				[sources]
Birth date	1976-02-18				[sources]
Nationality	not available				[sources]
Country	United States of America				[sources]
First name	ANTONIO				[sources]
Last name	LACEY				[sources]
NPI	`1093057382`				[sources]
Unique Entity ID	`CSJJK212QNR4`				[sources]
Position	COUNSELOR (IND- LIC HC SERV PRO)				[sources]
Address	2307 GRANADA TRL, LOCUST GROVE, GA 30248 · LOCUST GROVE, GA 30248, USA				[sources]
Last change	2025-09-12	Last processed	2025-10-03	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States of America	Georgia Department of Community Health		2023-08-22	-

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

United States of America · DCH

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

United States of America · GSA

People and companies excluded from Federally funded health care programs

United States of America · OIG

Source data IDs: us-fed-excl-antonio-lacey-30248-locust-grove · us-medga-243d21b0affd72f56c300caa084badb4164f12b8

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