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LAWRENCE DALTON BEALL — OIG Excluded Provider (SANDY, UT, 1128b4)

LAWRENCE DALTON BEALL — OIG Excluded Provider (SANDY, UT, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LAWRENCE DALTON BEALL; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameLAWRENCE DALTON BEALL
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyPSYCHOLOGY
NPI1790745768
CitySANDY
StateUT
ZIP84070
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2024-05-20
SourceHHS-OIG LEIE

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