All Medicaid billing entities listing KEOUGH, LISA (CREDENTIALING REP) as their authorized official in the NPPES registry.
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LAKE MICHIGAN ORAL & MAXILLOFACIAL SURGERY PLLC | SAINT JOSEPH, MI | Oral and Maxillofacial Surgery (Dentist) | $40K |
| 2 | NEW YORK PHYSICAL MEDICINE CENTER | ROCHESTER, NY | Physical Medicine & Rehabilitation Physician | $4K |