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LUCAS JAMES BENNETT — OIG Excluded Provider (BREMERTON, WA, 1128b4)

LUCAS JAMES BENNETT — OIG Excluded Provider (BREMERTON, WA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LUCAS JAMES BENNETT; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameLUCAS JAMES BENNETT
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyNURSE/NURSES AIDE
CityBREMERTON
StateWA
ZIP98311
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2012-03-20
SourceHHS-OIG LEIE

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