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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

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BAGGETT, LYNN DEAN       
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: CENTRAL OKLAHOMA FAMILY MEDICAL CLINIC
527 WEST 3RD STREET
KONAWA OK 74849
Address last updated on 7/4/2023
Phone #: (580) 925-3286
Fax #: (580) 925-9149
County: SEMINOLE
License: 14448
Dated: 8/16/1983
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Addiction Medicine
General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 5 / 1982
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/12/2013 Probation Ended
5/20/2010 Modification Order
11/19/2009 Modification Order
11/21/2008 Probation
11/20/2003 Revoked License
8/29/2003 Suspension, License
11/21/2002 Modification Order
9/19/2002 Modification Order
10/2/1998 Probation
6/5/1997 Revoked License
3/22/1996 Probation
2/11/1994 Revoked License
8/28/1992 Probation
6/28/1992 Suspension, License
1/12/1991 Probation
9/1/1990 Suspension, License
10/27/1989 Probation
10/24/1989 Suspension, License
Board Filings and/or Orders:
09/20/2013
05/20/2010
11/19/2009
11/06/2008
09/21/2006
11/26/2003
08/29/2003
11/21/2002
09/19/2002
09/28/2000
01/21/1999
01/21/1999
09/24/1998
05/15/1997
03/22/1996
09/15/1995
05/14/1994
02/11/1994
06/27/1992
01/12/1991
09/01/1990
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CENTRAL OKLAHOMA FAMILY MEDICAL CLINIC
527 WEST 3RD STREET
KONAWA OK 74849
Phone #: (580) 925-3286
Fax #: (580) 925-9149 		Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
catalyst Behavioral Health
3033 North Walnut Ave.
Oklahoma City, OK 73105
Phone #: (405) 201-8165
Fax #: (6) 201- 		Mon: 9:00AM - 3:30PM
Tue:
Wed:
Thu:
Fri: 9:00AM - 3:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
QIONG MU ROSS APRN 99604
STACY LYNN SCROGGINS PA 1066

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