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Oklahoma Board of Medical Licensure and Supervision

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IACOBUCCI, LAUREN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MERCY HOSPITAL OKLAHOMA CITY
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 7/17/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 2369
Dated: 11/8/2018
Expires: 10/31/2023
Temp. Ltr. Issued: 10/1/2018
Temp. Ltr. Expires: 11/8/2018
License Type: Licensed Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
MERCY HOSPITAL OKLAHOMA CITY
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

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