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LISA L ANTOINE — OIG Excluded Provider (EXCELSIOR SPRINGS, MO, 1128b4)

LISA L ANTOINE — OIG Excluded Provider (EXCELSIOR SPRINGS, MO, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LISA L ANTOINE; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameLISA L ANTOINE
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityEXCELSIOR SPRINGS
StateMO
ZIP64024
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2014-06-19
SourceHHS-OIG LEIE

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