Person

Lara L Thompson

Debarred entity

Born 23 Mar 1966 (60 years old),United States. Named in 1 sanctions listing.

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Sanctions and listings1

  • Effective
    18 Aug 2016

    Official designation

    Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States

    Criminal Conduct

    medicaid.ms.gov

Identifiers1

IdentifierNumber
NPI number1255745964

Addresses2

  • Post Office Box 5000

  • #16801-043

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