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Next Update: Thursday, December 19, 2024 2:50 AM CST
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LANTZ, GORDON DENNIS
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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.
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| Practice Address: |
1725 EAST 19TH ST #500
TULSA OK 74104
Address last updated on 11/2/2009 |
| Phone #: |
(918) 748-7560 |
| Fax #: |
(918) 293-3128 |
| County: |
TULSA |
| License: |
12965 |
| Dated: |
12/20/1980 |
| Expires: |
12/1/2011 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Endocrinology, Diabetes and Metabolism |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430 |
| Graduated: |
6 /
1975 |
| CME Year: |
2012 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Yes |
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| HMO/PPO: |
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
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| Locations: |
Hours: |
Languages: |
1725 EAST 19TH ST #500
TULSA OK 74104
Phone #:
(918) 748-7560
Fax #:
(918) 293-3128 |
Mon: 12:00AM - 5:00PM
Tue:
Wed:
Thu: 12:00AM - 5:00PM
Fri:
Sat:
Sun: |
Spanish |
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