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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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DAVIS, LAWRENCE WILLIAM       
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: 3433 NW 56TH ST
#600
OKLAHOMA CITY OK 73112-4403

Address last updated on 4/4/2012
Phone #: (405) 942-8586
Fax #: (405) 942-0560
County: OKLAHOMA
License: 10860
Dated: 6/30/1976
Expires: 5/28/2016
License Type: Medical Doctor
Specialty: Neurology
Vascular Neurology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1975
CME Year: 2019
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.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Vascular Neurology
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CommunityCare HMO, Inc
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
3433 NW 56TH ST
#600
OKLAHOMA CITY OK 73112-4403

Phone #: (405) 942-8586
Fax #: (405) 942-0560

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