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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, December 20, 2024 6:44 PM CST
Next Update: Saturday, December 21, 2024 2:50 AM CST

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GOODRICH, LAURA LOUISE       
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: VALLEY VIEW REGIONAL HSP
430 NORTH MONTE VISTA
ADA OK 74820
Phone #: (580) 332-2323
Fax #:
County: PONTOTOC
License: 11534
Dated: 9/22/1977
Expires: 3/12/2006
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduated: / 1975
CME Year: 2006
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 FAMILY MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
VALLEY VIEW REGIONAL HSP
430 NORTH MONTE VISTA
ADA OK 74820

Phone #: (580) 332-2323
Fax #:

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