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Next Update: Thursday, December 19, 2024 12:00 PM CST

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MICKLE, LAURIE E.       
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: UTICA PARK CLINIC-OWASSO
10512 N. 110TH E. AVENUE
SUITE 300
OWASSO OK 74055

Address last updated on 7/26/2024
Phone #: (918) 376-8901
Fax #: (918) 376-8929
County: TULSA
License: 17332
Dated: 7/1/1990
Expires: 7/1/2025
Temp. Lic. Issued: 6/22/1989
Temp. Lic. Expires: 9/30/1990
License Type: Medical Doctor
Specialty: Pediatrics
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: 5 / 1989
CME Year: 2027
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Baily Medical Center
Owasso, OK
Locations: Hours: Languages:
UTICA PARK CLINIC-OWASSO
10512 N. 110TH E. AVENUE
SUITE 300
OWASSO OK 74055

Phone #: (918) 376-8901
Fax #: (918) 376-8929
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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