Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | DIETRICH, LISA B. AKA LOWELL-SENTURIA, LISA · LOWELL-SENTURIA, LISA | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
Sector | MD | [sources] | |||
Status | not available | [sources] | |||
Address | DOGWOOD TRAIL, RANDOLPH, NJ 07869 | [sources] | |||
Last change | Last processed | First seen |
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-045807a44a21feb8ce58d97bf23902949b6b5ba7
· us-mednj-879a48de81c9bb07e50021e89189cf00f4ac7443
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
DOGWOOD TRAIL, RANDOLPH, NJ 07869 | United States |