Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Laksonen, Richard | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
Description | Medicaid Provider ID: 1462254 | [sources] | |||
NPI | 1457762627 | [sources] | |||
Sector | Nurse Practitioner | [sources] | |||
Status | not available | [sources] | |||
Address | PO Box 399 Stanley, ND 58784 | [sources] | |||
Last change | Last processed | First seen |
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States · NDHHS
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