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LYN JONSON BALLENER — OIG Excluded Provider (STATEN ISLAND, NY, 1128a3)

LYN JONSON BALLENER — OIG Excluded Provider (STATEN ISLAND, NY, 1128a3) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: LYN JONSON BALLENER; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NameLYN JONSON BALLENER
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyPHYSICAL THERAPY
NPI1710314984
CitySTATEN ISLAND
StateNY
ZIP10303
Exclusion authority1128a3
Exclusion reasonFelony conviction relating to health care fraud
Exclusion date2025-06-19
SourceHHS-OIG LEIE

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