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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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LAWRENCE, GARY MONROE       
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: MERCY HOSPICE
4401 W MEMORIAL RD
SUITE 116
OKLAHOMA CITY OK 73134-1722

Address last updated on 4/1/2024
Phone #: (580) 772-4808
Fax #:
County: OKLAHOMA
License: 14150
Dated: 4/20/1983
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Pediatrics
Palliative Medicine
Sports Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1980
CME Year: 2025
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
BlueLincs HMO
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY HOSPICE
4401 W MEMORIAL RD
SUITE 116
OKLAHOMA CITY OK 73134-1722

Phone #: (580) 772-4808
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY MARIE HALE CODDING PA 2590
STACY LOUISE FAGAN PA 1779
RANDY PAUL GORDON PA 1585
JEFFREY NEIL JOHNSTON PA 2508
CARRIE HOPE MCGUIRE PA 1510
KENNETH BRUCE WALKER PA 1270

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