Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
|
KACZMAREK, LAWRENCE KENT
|
|
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: |
2729 SW 124TH TERRACE
OKLAHOMA CITY OK 73170
Address last updated on 8/15/2019 |
| Phone #: |
(405) 550-8686 |
| Fax #: |
(404) 759-3882 |
| County: |
CLEVELAND |
| License: |
12206 |
| Dated: |
5/10/1979 |
| Expires: |
5/1/2019 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
GERIATRICS |
|
| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ne Coll Of Med, Omaha Ne 68198 |
| Graduated: |
5 /
1977 |
| 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: |
|
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
HealthChoice
Railroad Medicare
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
