Canonical ID: us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:country | us | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:description | License number: 360 | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:id | 8f211ece548a46f60bbd457cf7fb8f191b2777b6 | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:name | IKEN, LAWRENCE BRUCE | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:npiCode | 1972614451 | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:sector | 30-PODIATRIST | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 | |||
LegalEntity:topics | debarment | eng | us_mo_med_exclusions | us-medmo-dda9b22498c100b1868eaad0c131c6abf3e0fbb5 |