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FAULKNER, LANCE ELIOT       
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: PROSTHETIC DESIGNS OF OKLAHOMA
322 W MACARTHUR
SHAWNEE OK 74804

Address last updated on 1/12/2005
Phone #: (405) 214-1924
Fax #:
County: POTTAWATOMIE
License: 40
Dated: 4/15/2004
Expires: 3/11/2005
License Type: Licensed Orthotist
Specialty:
Status: Inactive
Status Class: Void
Restricted to: Alternative Qualifications Contract
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:
PROSTHETIC DESIGNS OF OKLAHOMA
322 W MACARTHUR
SHAWNEE OK 74804

Phone #: (405) 214-1924
Fax #:

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