LISA LYNN ANDERSON — OIG Excluded Provider (MULLAN, ID, 1128a1)
LISA LYNN ANDERSON — OIG Excluded Provider (MULLAN, ID, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LISA LYNN ANDERSON; Type: Individual; Provider category: STATE/LOCAL/TRIBAL A.
| Name | LISA LYNN ANDERSON |
|---|---|
| Type | Individual |
| Provider category | STATE/LOCAL/TRIBAL A |
| Specialty | HEALTH CARE AIDE |
| City | MULLAN |
| State | ID |
| ZIP | 83846 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2007-02-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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