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CARSON, MARTIECE J.       
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: LIFESTYLE MANAGEMENT CLINIC
11212 NORTH MAY #400
OKLAHOMA CITY OK 73113-1800
Phone #:
Fax #: (405) 751-9686
County: OKLAHOMA
License: 15260
Dated: 7/1/1985
Expires: 7/1/2004
License Type: Medical Doctor
Specialty: Psychiatry
Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1984
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LIFESTYLE MANAGEMENT CLINIC
11212 NORTH MAY #400
OKLAHOMA CITY OK 73113-1800

Phone #:
Fax #: (405) 751-9686

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