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BAKER, LISA CAROL       
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: CHILDRENS HOSPITAL OF OKLAHOMA
940 NE 13TH STREET RM 1B339
OKLAHOMA CITY OK 73104-5066
Phone #:
Fax #:
County: OKLAHOMA
License: 17835
Dated: 8/20/1991
Expires: 8/1/1996
Training Issued: 7/5/1990
Training Expires: 1/1/1992
License Type: Medical Doctor
Specialty: Pediatrics
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 / 1990
CME Year:
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHILDRENS HOSPITAL OF OKLAHOMA
940 NE 13TH STREET RM 1B339
OKLAHOMA CITY OK 73104-5066

Phone #:
Fax #:

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