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LACZKOWSKI, ANDRZEJ WLODZIMIERZ       
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: 1 KINGSGATE CT.
DALLAS TX 75225

Address last updated on 10/19/2013
Phone #: (214) 265-1437
Fax #:
County: NOT OKLAHOMA
License: 11068
Dated: 11/15/1976
Expires: 11/1/2013
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Akademia Medyczna W Gdansku, U S Curie, Gdansk, Poland
Graduated: 4 / 1963
CME Year: 2015
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1 KINGSGATE CT.
DALLAS TX 75225

Phone #: (214) 265-1437
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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